| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,412.54 | $1,412.54 | $1,513.56 | |
Cigna
| Facility | $1,412.54 | $1,412.54 | $1,412.54 | |
Cigna
| Professional | $1,412.54 | $1,412.54 | $1,412.54 | |
United
| Professional | $125.89 | $1,380.38 | $1,479.11 |