| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $474.31 | $485.13 | $485.13 | |
Cigna
| Professional | $438.54 | $567.10 | $893.88 | |
United
| Professional | $393.57 | $561.34 | $1,052.30 |