| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.52 | $205.97 | $649.54 | |
BCBS
| Professional | $179.00 | $332.00 | $1,675.00 | |
Cigna
| Professional | $128.21 | $282.04 | $773.06 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 | |
United
| Professional | $481.63 | $696.54 | $1,189.85 |