| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $762.49 | $934.96 | $934.96 | |
Cigna
| Facility | $668.33 | $668.33 | $668.33 | |
Cigna
| Professional | $575.60 | $1,354.64 | $1,693.30 | |
United
| Professional | $369.43 | $616.91 | $1,574.67 |