| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $585.20 | $585.20 | $585.20 | |
Aetna
| Professional | $340.94 | $340.94 | $422.36 | |
Cigna
| Facility | $330.77 | $330.77 | $330.77 | |
Cigna
| Professional | $252.37 | $279.54 | $740.09 | |
United
| Professional | $213.73 | $305.32 | $1,119.51 |