| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.93 | $78.93 | $78.93 | |
BCBS
| Professional | $161.00 | $161.00 | $193.00 | |
Cigna
| Professional | $107.10 | $131.58 | $193.03 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $133.65 | $247.95 | $315.89 |