| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $879.75 | $953.99 | $996.98 | |
Cigna
| Facility | $1,222.54 | $1,222.54 | $1,222.54 | |
Cigna
| Professional | $892.45 | $892.45 | $892.45 | |
United
| Professional | $962.90 | $1,071.23 | $1,606.45 |