| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $251.19 | $1,412.54 | |
Aetna
| Professional | $194.98 | $245.47 | $323.59 | |
Cigna
| Facility | $426.58 | $426.58 | $426.58 | |
Cigna
| Professional | $1,174.90 | $1,174.90 | $1,174.90 | |
United
| Facility | $758.58 | $758.58 | $758.58 | |
United
| Professional | $208.93 | $302.00 | $467.74 |