| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $730.38 | $768.86 | $827.70 | |
Cigna
| Facility | $1,530.70 | $1,530.70 | $1,530.70 | |
Cigna
| Professional | $1,117.41 | $1,117.41 | $1,117.41 | |
United
| Professional | $799.42 | $948.64 | $3,246.39 |