| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $724.44 | $724.44 | |
Aetna
| Professional | $676.08 | $707.95 | $851.14 | |
Cigna
| Facility | $724.44 | $724.44 | $1,348.96 | |
Cigna
| Professional | $724.44 | $3,801.89 | $3,801.89 | |
United
| Professional | $602.56 | $707.95 | $741.31 |