| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $776.25 | $1,000.00 | $1,445.44 | |
Cigna
| Professional | $1,148.15 | $1,148.15 | $1,148.15 | |
United
| Facility | $54.95 | $549.54 | $1,047.13 | |
United
| Professional | $501.19 | $794.33 | $954.99 |