| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $536.11 | $536.11 | $536.11 | |
Aetna
| Professional | $536.11 | $882.10 | $882.10 | |
Cigna
| Facility | $876.07 | $876.07 | $1,185.14 | |
Cigna
| Professional | $876.07 | $876.07 | $4,967.30 | |
United
| Professional | $886.96 | $886.96 | $1,284.58 |