| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $819.34 | $819.34 | $819.34 | |
Aetna
| Professional | $562.85 | $591.35 | $591.35 | |
Cigna
| Professional | $818.98 | $818.98 | $1,023.72 | |
United
| Professional | $249.36 | $341.99 | $712.47 |