| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $360.44 | $389.24 | $408.47 | |
Cigna
| Facility | $695.50 | $695.50 | $695.50 | |
Cigna
| Professional | $507.72 | $507.72 | $695.50 | |
United
| Professional | $394.50 | $468.14 | $658.16 |