| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.98 | $115.98 | $115.98 | |
BCBS
| Professional | $223.00 | $268.00 | $335.00 | |
Cigna
| Professional | $162.03 | $192.40 | $274.47 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $184.24 | $293.83 | $455.40 |