| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.76 | $51.76 | $51.76 | |
BCBS
| Professional | $72.00 | $72.00 | $89.00 | |
Cigna
| Professional | $77.70 | $83.96 | $117.68 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $89.65 | $110.01 | $211.89 |