| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,747.00 | $2,898.00 | |
Aetna
| Professional | $294.39 | $294.39 | $294.39 | |
Cigna
| Professional | $423.81 | $423.81 | $598.32 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $423.81 | $684.99 | $909.19 |