| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $794.51 | $794.51 | $1,269.20 | |
Cigna
| Professional | $946.59 | $1,343.16 | $2,270.82 | |
United
| Professional | $1,240.04 | $1,732.96 | $3,465.92 |