| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $490.08 | $490.08 | $490.08 | |
BCBS
| Professional | $520.71 | $612.60 | $612.60 | |
Cigna
| Professional | $520.71 | $520.71 | $520.71 | |
United
| Professional | $510.50 | $510.50 | $510.50 |