| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.44 | $72.44 | $125.89 | |
BCBS
| Professional | $66.07 | $77.62 | $77.62 | |
Cigna
| Professional | $72.44 | $72.44 | $72.44 | |
United
| Facility | $147.91 | $147.91 | $147.91 | |
United
| Professional | $77.62 | $83.18 | $89.13 |