| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $272.08 | $272.08 | $272.08 | |
BCBS
| Professional | $289.08 | $340.10 | $340.10 | |
Cigna
| Professional | $289.08 | $289.08 | $289.08 | |
United
| Professional | $283.42 | $283.42 | $283.42 |