| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.36 | $97.36 | $126.43 | |
BCBS
| Professional | $190.00 | $237.00 | $307.00 | |
Cigna
| Professional | $134.61 | $174.46 | $282.58 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $198.00 | $316.23 | $483.13 |