| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $292.68 | $292.68 | $292.68 | |
BCBS
| Professional | $310.97 | $365.85 | $365.85 | |
Cigna
| Professional | $310.97 | $310.97 | $310.97 | |
United
| Professional | $304.88 | $304.88 | $304.88 |