| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $737.23 | $772.56 | $835.88 | |
Cigna
| Facility | $775.91 | $775.91 | $775.91 | |
Cigna
| Professional | $659.52 | $659.52 | $659.52 | |
United
| Professional | $474.74 | $634.29 | $1,011.15 |