| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $386.96 | $401.47 | $411.15 | |
BCBS
| Professional | $411.15 | $483.70 | $483.70 | |
Cigna
| Professional | $411.15 | $411.15 | $411.15 | |
United
| Professional | $403.08 | $403.08 | $403.08 |