| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $548.89 | $548.89 | $551.57 | |
Cigna
| Facility | $752.15 | $752.15 | $752.15 | |
Cigna
| Professional | $549.07 | $549.07 | $549.07 | |
United
| Professional | $497.53 | $665.38 | $1,002.30 |