| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.61 | $47.61 | $47.61 | |
BCBS
| Professional | $96.00 | $96.00 | $115.00 | |
Cigna
| Professional | $63.83 | $78.66 | $116.00 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $60.16 | $150.47 | $189.78 |