| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $128.82 | $309.03 | |
BCBS
| Professional | $380.19 | $602.56 | $645.65 | |
BCBS
| Professional | 50 | $354.81 | $575.44 | $954.99 |
Cigna
| Professional | $131.83 | $173.78 | $251.19 | |
United
| Facility | $257.04 | $295.12 | $3,090.30 | |
United
| Professional | $131.83 | $234.42 | $416.87 |