| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $297.37 | $297.37 | $321.55 | |
Cigna
| Professional | $262.35 | $374.40 | $426.13 | |
United
| Professional | $280.32 | $344.96 | $702.74 |