| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $324.08 | $586.95 | $586.95 | |
Cigna
| Facility | $621.29 | $621.29 | $647.80 | |
Cigna
| Professional | $472.90 | $472.90 | $472.90 | |
United
| Professional | $403.53 | $546.27 | $872.44 |