| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $457.09 | $912.01 | |
Aetna
| Professional | $346.74 | $489.78 | $758.58 | |
Cigna
| Facility | $758.58 | $758.58 | $758.58 | |
Cigna
| Professional | $2,290.87 | $2,290.87 | $2,290.87 | |
United
| Professional | $389.05 | $478.63 | $831.76 |