| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $779.30 | $966.70 | $1,093.40 | |
Cigna
| Facility | $845.38 | $845.38 | $845.38 | |
Cigna
| Professional | $718.57 | $718.57 | $845.38 | |
United
| Professional | $66.62 | $112.91 | $850.77 |