| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $533.32 | $533.32 | $533.32 | |
Aetna
| Professional | $366.37 | $384.92 | $384.92 | |
Cigna
| Professional | $533.17 | $533.17 | $666.48 | |
United
| Professional | $162.32 | $222.60 | $463.76 |