| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $373.75 | $373.75 | $768.50 | |
BCBS
| Professional | $725.70 | $725.70 | $725.70 | |
Cigna
| Facility | $682.85 | $682.85 | $682.85 | |
United
| Professional | $438.49 | $475.88 | $724.26 |