| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $622.14 | $622.14 | $622.14 | |
Aetna
| Professional | $427.38 | $449.02 | $449.02 | |
Cigna
| Facility | $351.64 | $351.64 | $351.64 | |
Cigna
| Professional | $621.57 | $621.57 | $776.96 | |
United
| Professional | $189.35 | $324.58 | $540.99 |