| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $783.85 | $825.16 | $888.30 | |
Cigna
| Facility | $1,551.30 | $1,551.30 | $1,551.30 | |
Cigna
| Professional | $1,132.45 | $1,132.45 | $1,551.30 | |
United
| Professional | $857.95 | $954.47 | $1,431.35 |