| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.78 | $121.78 | $137.59 | |
BCBS
| Professional | $358.00 | $578.00 | $640.00 | |
BCBS
| Professional | 50 | $537.00 | $867.00 | $960.00 |
Cigna
| Professional | $130.93 | $170.21 | $248.77 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $135.94 | $262.60 | $421.21 |