| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $497.01 | $497.01 | $560.95 | |
Cigna
| Professional | $458.62 | $818.30 | $925.71 | |
United
| Professional | $639.95 | $845.90 | $1,606.66 |