| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $743.02 | $817.45 | $884.55 | |
Cigna
| Facility | $833.40 | $833.40 | $833.40 | |
Cigna
| Professional | $116.30 | $708.39 | $833.40 | |
United
| Professional | $445.72 | $668.58 | $857.84 |