| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $746.74 | $746.74 | $746.74 | |
BCBS
| Professional | $793.42 | $933.43 | $933.43 | |
Cigna
| Professional | $793.42 | $793.42 | $793.42 | |
United
| Professional | $777.86 | $777.86 | $777.86 |