| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.79 | $100.79 | $115.33 | |
BCBS
| Professional | $295.00 | $476.00 | $545.00 | |
BCBS
| Professional | 50 | $442.50 | $714.00 | $817.50 |
Cigna
| Professional | $116.63 | $151.62 | $221.59 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $120.79 | $228.45 | $375.69 |