| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $524.34 | $524.34 | $564.69 | |
Cigna
| Professional | $462.90 | $626.05 | $701.11 | |
United
| Professional | $473.99 | $607.83 | $1,214.42 |