| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $731.64 | $731.64 | $731.64 | |
BCBS
| Professional | $212.00 | $650.50 | $650.50 | |
Cigna
| Facility | $650.50 | $650.50 | $2,609.94 | |
United
| Professional | $383.74 | $383.74 | $383.74 |