| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $352.92 | $352.92 | $352.92 | |
BCBS
| Professional | $374.98 | $441.15 | $441.15 | |
Cigna
| Professional | $374.98 | $374.98 | $374.98 | |
United
| Professional | $367.63 | $367.63 | $367.63 |