| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $67.61 | $117.49 | $173.78 | |
Cigna
| Professional | $60.26 | $83.18 | $93.33 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $67.61 | $81.28 | $158.49 |