| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $575.44 | $2,137.96 | |
Aetna
| Professional | $446.68 | $588.84 | $776.25 | |
Cigna
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $645.65 | $776.25 | $933.25 | |
United
| Professional | $851.14 | $891.25 | $933.25 |