| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $563.94 | $583.00 | $639.09 | |
Cigna
| Facility | $870.50 | $870.50 | $870.50 | |
Cigna
| Professional | $635.47 | $635.47 | $870.50 | |
United
| Professional | $617.24 | $686.69 | $1,027.33 |