| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $584.90 | $584.90 | $584.90 | |
BCBS
| Professional | $731.13 | $907.00 | $1,872.00 | |
Cigna
| Facility | $1,169.61 | $1,169.61 | $1,169.61 | |
United
| Professional | $245.66 | $245.66 | $584.90 |