| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.82 | $245.47 | $676.08 | |
BCBS
| Professional | $660.69 | $660.69 | $1,023.29 | |
Cigna
| Professional | $186.21 | $407.38 | $1,023.29 | |
United
| Professional | $186.21 | $436.52 | $851.14 |