| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $139.00 | $139.00 | $223.78 | |
BCBS
| Professional | $224.00 | $447.00 | $706.00 | |
BCBS
| Professional | 50 | $336.00 | $670.50 | $1,059.00 |
Cigna
| Professional | $172.46 | $278.06 | $503.11 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $308.55 | $419.31 | $884.39 |