| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.93 | $29.59 | $104.64 | |
Aetna
| Professional | 52 | $15.33 | $15.33 | $39.38 |
BCBS
| Professional | $58.00 | $73.00 | $188.00 | |
Cigna
| Professional | $49.76 | $91.47 | $167.39 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $128.40 | $214.14 | $328.67 |