| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.29 | $114.00 | $215.86 | |
BCBS
| Professional | $220.00 | $341.00 | $824.00 | |
Cigna
| Professional | $110.24 | $198.28 | $397.47 | |
United
| Facility | $1,275.00 | $5,484.78 | $5,606.00 | |
United
| Professional | $204.39 | $352.64 | $802.57 |