| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $630.96 | $776.25 | $1,621.81 | |
Cigna
| Professional | $630.96 | $794.33 | $954.99 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $602.56 | $707.95 | $1,513.56 |