| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $183.29 | $183.29 | $838.04 | |
BCBS
| Professional | $414.00 | $497.00 | $1,978.00 | |
Cigna
| Professional | $270.55 | $430.35 | $1,615.76 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 | |
United
| Professional | $982.45 | $1,887.41 | $3,003.02 |