| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.02 | $615.79 | $645.79 | |
BCBS
| Professional | $191.00 | $239.00 | $1,441.00 | |
BCBS
| Professional | 50 | $286.50 | $430.50 | $2,161.50 |
Cigna
| Professional | $138.28 | $237.24 | $1,081.88 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $738.65 | $1,477.29 | $1,772.74 |