| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.71 | $776.71 | $776.71 | |
Aetna
| Professional | $452.52 | $452.52 | $560.58 | |
Cigna
| Facility | $439.01 | $439.01 | $439.01 | |
Cigna
| Professional | $885.46 | $885.46 | $885.46 | |
United
| Professional | $283.67 | $405.24 | $1,485.88 |