| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $371.54 | $380.19 | |
Aetna
| Professional | $331.13 | $512.86 | $812.83 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
United
| Professional | $346.74 | $371.54 | $549.54 |