| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.28 | $112.28 | $112.28 | |
BCBS
| Professional | $232.00 | $278.00 | $448.00 | |
Cigna
| Professional | $140.43 | $187.67 | $267.52 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $157.86 | $263.93 | $426.35 |