| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.26 | $63.10 | $102.33 | |
BCBS
| Professional | $63.10 | $75.86 | $75.86 | |
Cigna
| Professional | $63.10 | $63.10 | $63.10 | |
United
| Facility | $165.96 | $165.96 | $323.59 | |
United
| Professional | $63.10 | $63.10 | $63.10 |