| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $630.96 | $660.69 | $660.69 | |
Cigna
| Facility | $851.14 | $851.14 | $851.14 | |
Cigna
| Professional | $724.44 | $851.14 | $851.14 | |
United
| Facility | $100.00 | $758.58 | $1,000.00 | |
United
| Professional | $489.78 | $794.33 | $1,318.26 |