| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,116.00 | $1,214.63 | $1,214.63 | |
BCBS
| Professional | $1,238.93 | $1,457.56 | $1,457.56 | |
Cigna
| Professional | $1,238.93 | $1,238.93 | $1,238.93 | |
United
| Professional | $485.85 | $1,214.63 | $1,214.63 |