| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.69 | $52.69 | $85.91 | |
BCBS
| Professional | $103.00 | $129.00 | $211.00 | |
Cigna
| Professional | $72.70 | $109.05 | $187.78 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $128.13 | $250.11 | $318.12 |