| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.15 | $452.15 | $561.95 | |
Aetna
| Professional | $215.31 | $313.27 | $452.15 | |
Cigna
| Facility | $209.92 | $416.44 | $672.96 | |
United
| Facility | $322.97 | $322.97 | $322.97 | |
United
| Professional | $135.63 | $193.78 | $352.80 |