| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.80 | $86.80 | $177.47 | |
BCBS
| Professional | $169.00 | $211.00 | $418.00 | |
Cigna
| Professional | $118.50 | $165.81 | $289.01 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $189.75 | $448.49 | $461.99 |