| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.31 | $124.31 | $124.31 | |
BCBS
| Professional | $549.01 | $645.89 | $645.89 | |
Cigna
| Professional | $570.54 | $570.54 | $807.37 | |
United
| Professional | $645.89 | $645.89 | $645.89 |