| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $623.73 | $745.85 | $753.92 | |
Cigna
| Facility | $876.07 | $876.07 | $876.07 | |
Cigna
| Professional | $876.07 | $876.07 | $876.07 | |
United
| Professional | $521.74 | $886.96 | $886.96 |