| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $131.35 | $131.35 | $139.77 | |
Cigna
| Professional | $144.85 | $160.09 | $227.58 | |
United
| Professional | $133.97 | $186.48 | $372.97 |