| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $442.05 | $442.05 | $442.05 | |
BCBS
| Professional | $629.00 | $629.00 | $776.00 | |
Cigna
| Professional | $734.42 | $734.42 | $734.42 | |
United
| Professional | $732.00 | $851.95 | $1,767.99 |