| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $144.54 | $147.91 | |
BCBS
| Professional | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $81.28 | $81.28 | $81.28 | |
United
| Facility | $173.78 | $173.78 | $173.78 | |
United
| Professional | $75.86 | $83.18 | $83.18 |