| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.09 | $44.09 | $117.46 | |
BCBS
| Professional | $102.00 | $122.00 | $298.00 | |
Cigna
| Professional | $61.44 | $104.53 | $302.37 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $198.00 | $388.21 | $528.00 |