| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.64 | $489.64 | $523.61 | |
Cigna
| Facility | $714.02 | $714.02 | $714.02 | |
Cigna
| Professional | $521.23 | $521.23 | $714.02 | |
United
| Professional | $472.31 | $593.54 | $872.37 |