| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $597.91 | $597.91 | $597.91 | |
BCBS
| Professional | $747.39 | $927.00 | $1,913.00 | |
Cigna
| Facility | $1,196.14 | $1,196.14 | $1,196.14 | |
United
| Professional | $251.12 | $251.12 | $442.45 |