| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.43 | $84.43 | $122.84 | |
BCBS
| Professional | $153.00 | $219.00 | $320.00 | |
BCBS
| Professional | 50 | $229.50 | $336.00 | $480.00 |
Cigna
| Professional | $115.61 | $162.63 | $271.20 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $185.90 | $301.27 | $463.31 |