| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $399.77 | $399.77 | $548.75 | |
Cigna
| Facility | $854.15 | $854.15 | $854.15 | |
Cigna
| Professional | $623.53 | $623.53 | $854.15 | |
United
| Professional | $543.83 | $630.26 | $988.78 |