| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $352.50 | $382.24 | $399.47 | |
Cigna
| Facility | $624.54 | $624.54 | $624.54 | |
Cigna
| Professional | $455.91 | $455.91 | $624.54 | |
United
| Professional | $385.82 | $457.84 | $693.49 |