| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $957.60 | $957.60 | $1,322.40 | |
Aetna
| Professional | $456.00 | $737.20 | $957.60 | |
Cigna
| Facility | $494.00 | $573.04 | $1,136.20 | |
United
| Professional | $319.20 | $456.00 | $760.00 |