| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.54 | $117.54 | $174.64 | |
BCBS
| Professional | $218.00 | $315.00 | $473.00 | |
Cigna
| Professional | $126.08 | $197.10 | $286.99 | |
United
| Facility | $2,607.00 | $6,359.06 | $10,877.00 | |
United
| Professional | $166.64 | $393.88 | $448.81 |