| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $954.88 | $1,050.58 | $1,136.77 | |
Cigna
| Facility | $1,116.58 | $1,116.58 | $1,116.58 | |
Cigna
| Professional | $949.10 | $949.10 | $1,465.53 | |
United
| Professional | $572.85 | $859.28 | $1,415.34 |