| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $392.92 | $413.63 | $445.28 | |
Cigna
| Facility | $596.58 | $596.58 | $596.58 | |
Cigna
| Professional | $435.50 | $435.50 | $435.50 | |
United
| Facility | $0.76 | $629.41 | $629.41 | |
United
| Professional | $430.07 | $510.34 | $728.88 |