| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $165.96 | $169.82 | |
BCBS
| Professional | $186.21 | $186.21 | $186.21 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
United
| Facility | $194.98 | $194.98 | $194.98 | |
United
| Professional | $85.11 | $95.50 | $95.50 |