| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $966.75 | $966.75 | $966.75 | |
Aetna
| Professional | $563.24 | $697.74 | $697.74 | |
Cigna
| Facility | $546.41 | $546.41 | $546.41 | |
Cigna
| Professional | $966.01 | $966.01 | $1,207.51 | |
United
| Professional | $248.06 | $378.29 | $1,849.43 |