| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $1,479.11 | $1,737.80 | |
Aetna
| Professional | $467.74 | $549.54 | $676.08 | |
Cigna
| Professional | $870.96 | $870.96 | $1,047.13 | |
Medcost
| Professional | $457.09 | $457.09 | $457.09 | |
United
| Facility | $295.12 | $707.95 | $851.14 | |
United
| Professional | $295.12 | $371.54 | $812.83 |