| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $8,095.60 | $8,095.60 | |
Aetna
| Professional | $379.72 | $828.52 | $1,950.56 | |
Cigna
| Professional | $425.09 | $692.29 | $2,706.97 | |
United
| Professional | $1,788.56 | $2,653.02 | $4,072.26 |