| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $926.60 | $1,019.45 | $1,103.09 | |
Cigna
| Facility | $799.37 | $799.37 | $799.37 | |
Cigna
| Professional | $145.52 | $679.46 | $799.37 | |
United
| Professional | $833.76 | $833.76 | $1,771.94 |