| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $348.64 | $348.64 | $381.32 | |
Cigna
| Professional | $266.07 | $387.94 | $440.88 | |
United
| Professional | $262.62 | $324.02 | $798.35 |