| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $635.11 | $635.11 | $635.11 | |
BCBS
| Professional | $674.81 | $793.89 | $793.89 | |
Cigna
| Professional | $674.81 | $674.81 | $674.81 | |
United
| Professional | $661.57 | $661.57 | $661.57 |