| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $670.87 | $707.84 | $760.27 | |
Cigna
| Facility | $1,018.60 | $1,018.60 | $1,018.60 | |
Cigna
| Professional | $743.58 | $743.58 | $743.58 | |
United
| Professional | $734.29 | $871.36 | $1,244.49 |