| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $289.30 | $289.30 | $289.30 | |
BCBS
| Professional | $403.00 | $496.00 | $496.00 | |
Cigna
| Professional | $362.11 | $389.96 | $552.65 | |
United
| Professional | $410.04 | $498.48 | $951.50 |