| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $779.10 | $845.41 | $923.21 | |
Cigna
| Facility | $1,498.90 | $1,498.90 | $1,498.90 | |
Cigna
| Professional | $1,094.20 | $1,094.20 | $1,498.90 | |
United
| Professional | $852.76 | $1,016.20 | $1,574.08 |