| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $256.07 | $256.07 | $276.38 | |
Cigna
| Professional | $225.53 | $303.08 | $343.82 | |
United
| Professional | $235.46 | $276.70 | $603.27 |