| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $100.00 | $104.71 | |
BCBS
| Professional | $117.49 | $117.49 | $117.49 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
United
| Facility | $123.03 | $123.03 | $123.03 | |
United
| Professional | $53.70 | $57.54 | $60.26 |