| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,110.29 | $1,110.29 | $1,110.29 | |
Aetna
| Professional | $432.02 | $1,017.64 | $1,017.64 | |
Cigna
| Professional | $432.02 | $432.02 | $432.02 | |
United
| Professional | $432.02 | $436.69 | $648.03 |