| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $448.72 | $448.72 | $619.66 | |
Aetna
| Professional | $213.68 | $448.72 | $448.72 | |
Cigna
| Facility | $231.48 | $268.52 | $638.88 | |
United
| Facility | $320.52 | $320.52 | $320.52 | |
United
| Professional | $149.57 | $213.68 | $356.13 |