| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.49 | $62.49 | $76.33 | |
BCBS
| Professional | $188.00 | $303.00 | $367.00 | |
Cigna
| Professional | $80.23 | $104.31 | $152.44 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $91.90 | $144.19 | $287.30 |