| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $461.62 | $461.62 | $461.62 | |
BCBS
| Professional | $461.62 | $543.08 | $543.08 | |
Cigna
| Professional | $506.88 | $506.88 | $506.88 | |
United
| Professional | $497.83 | $543.08 | $543.08 |