| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $636.51 | $636.51 | $683.21 | |
Cigna
| Professional | $522.80 | $758.89 | $852.69 | |
United
| Professional | $611.57 | $745.08 | $1,609.58 |