| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.79 | $100.79 | $100.79 | |
BCBS
| Professional | $150.00 | $185.00 | $185.00 | |
Cigna
| Professional | $142.66 | $166.30 | $201.58 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $118.16 | $162.79 | $303.23 |