| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $681.60 | $681.60 | $681.60 | |
Aetna
| Professional | $346.18 | $681.60 | $681.60 | |
Cigna
| Facility | $451.71 | $451.71 | $955.47 | |
Cigna
| Professional | $383.95 | $451.70 | $836.64 | |
United
| Professional | $242.72 | $404.52 | $561.04 |