| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.36 | $162.18 | $263.03 | |
BCBS
| Professional | $162.18 | $190.55 | $190.55 | |
Cigna
| Professional | $162.18 | $162.18 | $162.18 | |
United
| Facility | $165.96 | $165.96 | $165.96 | |
United
| Professional | $158.49 | $158.49 | $158.49 |