| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $818.63 | $818.63 | $818.63 | |
Cigna
| Professional | $784.04 | $844.47 | $1,236.09 | |
United
| Professional | $672.36 | $943.77 | $2,128.13 |