| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $788.56 | $985.70 | $1,449.19 | |
Cigna
| Facility | $120.00 | $120.00 | $120.00 | |
Cigna
| Professional | $102.00 | $102.00 | $120.96 | |
United
| Professional | $57.09 | $75.63 | $124.93 |