| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $637.61 | $637.61 | $730.57 | |
Cigna
| Professional | $651.59 | $860.64 | $1,254.94 | |
United
| Professional | $654.12 | $846.51 | $1,622.73 |