| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $107.12 | $1,331.35 | $1,680.90 | |
Cigna
| Professional | $132.07 | $173.20 | $2,208.10 | |
United
| Professional | $1,502.29 | $1,883.78 | $3,849.03 |