| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $505.13 | $572.48 | $673.51 | |
Aetna
| Professional | $26.66 | $591.05 | $823.12 | |
Cigna
| Facility | $46.61 | $46.61 | $46.61 | |
Cigna
| Professional | $759.74 | $759.74 | $759.74 | |
United
| Professional | $523.38 | $819.90 | $1,290.76 |