| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $375.25 | $375.25 | $375.25 | |
BCBS
| Professional | $469.06 | $582.00 | $1,201.00 | |
Cigna
| Facility | $750.20 | $750.20 | $750.20 | |
United
| Professional | $157.61 | $157.61 | $375.25 |