| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $1,000.00 | $1,000.00 | |
Cigna
| Facility | $794.33 | $1,071.52 | $1,412.54 | |
Optum
| Facility | $446.68 | $602.56 | $1,445.44 | |
United
| Facility | $446.68 | $602.56 | $1,445.44 |