| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.46 | $133.46 | $133.46 | |
BCBS
| Professional | $305.00 | $344.00 | $413.00 | |
Cigna
| Professional | $194.09 | $207.51 | $325.38 | |
United
| Facility | $6,934.00 | $6,934.00 | $26,502.00 | |
United
| Professional | $178.11 | $438.56 | $600.60 |