| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $731.14 | $731.14 | $731.14 | |
BCBS
| Professional | $776.84 | $913.93 | $913.93 | |
Cigna
| Professional | $776.84 | $776.84 | $776.84 | |
United
| Professional | $761.61 | $761.61 | $761.61 |