| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $757.51 | $797.43 | $858.46 | |
Cigna
| Facility | $1,408.48 | $1,408.48 | $1,408.48 | |
Cigna
| Professional | $1,028.19 | $1,028.19 | $1,408.48 | |
United
| Professional | $612.17 | $922.40 | $1,383.26 |