| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.75 | $145.36 | $239.93 | |
BCBS
| Professional | $275.00 | $426.00 | $917.00 | |
Cigna
| Professional | $142.71 | $248.28 | $452.00 | |
United
| Facility | $1,275.00 | $1,275.00 | $5,606.00 | |
United
| Professional | $231.04 | $375.84 | $894.94 |