| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.78 | $575.44 | $1,698.24 | |
Cigna
| Facility | $831.76 | $831.76 | $831.76 | |
Cigna
| Professional | $602.56 | $602.56 | $602.56 | |
United
| Facility | $1.05 | $851.14 | $1,348.96 | |
United
| Professional | $630.96 | $741.31 | $1,047.13 |