| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.74 | $125.74 | $192.53 | |
BCBS
| Professional | $205.00 | $304.00 | $607.00 | |
Cigna
| Professional | $148.94 | $240.65 | $430.35 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $256.30 | $371.95 | $605.80 |