| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $749.78 | $800.04 | $952.43 | |
Cigna
| Facility | $999.36 | $999.36 | $999.36 | |
Cigna
| Professional | $849.46 | $849.46 | $999.36 | |
United
| Professional | $406.53 | $511.79 | $746.11 |