| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $1,819.70 | $2,818.38 | |
Aetna
| Professional | $1,202.26 | $1,202.26 | $1,202.26 | |
Cigna
| Professional | $549.54 | $549.54 | $549.54 | |
United
| Facility | $338.84 | $588.84 | $1,659.59 |