| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,202.26 | $3,202.26 | $6,907.00 | |
Aetna
| Professional | $511.38 | $541.02 | $585.01 | |
Cigna
| Professional | $521.72 | $704.60 | $1,006.49 | |
United
| Professional | $522.19 | $675.77 | $1,299.09 |