| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $200.64 | $200.64 | $200.64 | |
BCBS
| Professional | $388.00 | $466.00 | $582.00 | |
Cigna
| Professional | $330.55 | $330.55 | $330.55 | |
United
| Facility | $1,275.00 | $1,275.00 | $3,239.00 | |
United
| Professional | $283.02 | $566.04 | $723.80 |