| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.96 | $50.96 | $78.64 | |
BCBS
| Professional | $100.00 | $166.00 | $255.00 | |
BCBS
| Professional | 50 | $124.50 | $249.00 | $382.50 |
Cigna
| Professional | $79.94 | $125.78 | $207.20 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $139.50 | $191.40 | $550.45 |