| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $152.87 | $152.87 | $165.46 | |
Cigna
| Professional | $125.79 | $174.90 | $185.01 | |
United
| Professional | $140.51 | $173.90 | $325.39 |