| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $450.91 | $450.91 | $450.91 | |
BCBS
| Professional | $563.64 | $699.00 | $1,443.00 | |
Cigna
| Facility | $901.64 | $901.64 | $901.64 | |
United
| Professional | $189.38 | $189.38 | $450.91 |