| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.21 | $2,949.32 | $5,816.00 | |
Aetna
| Professional | $245.21 | $331.21 | $4,014.94 | |
Cigna
| Professional | $283.95 | $465.95 | $5,734.85 | |
United
| Professional | $3,572.10 | $5,038.55 | $8,133.12 |