| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.68 | $89.68 | $118.59 | |
BCBS
| Professional | $167.00 | $250.00 | $375.00 | |
Cigna
| Professional | $119.88 | $159.38 | $272.33 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $170.51 | $283.86 | $455.40 |