| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.82 | $209.82 | $209.82 | |
BCBS
| Professional | $431.00 | $517.00 | $647.00 | |
Cigna
| Professional | $366.87 | $366.87 | $366.87 | |
United
| Facility | $1,275.00 | $1,275.00 | $3,239.00 | |
United
| Professional | $256.45 | $459.33 | $721.16 |