| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.69 | $660.69 | $851.14 | |
Cigna
| Facility | $660.69 | $660.69 | $660.69 | |
Cigna
| Professional | $660.69 | $660.69 | $660.69 | |
United
| Professional | $125.89 | $794.33 | $1,000.00 |