| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.45 | $132.62 | $1,130.50 | |
BCBS
| Professional | $122.00 | $196.00 | $437.00 | |
BCBS
| Professional | 50 | $183.00 | $352.50 | $655.50 |
Cigna
| Professional | $88.13 | $150.32 | $283.13 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $166.46 | $251.44 | $481.00 |