| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $371.72 | $371.72 | $425.76 | |
Cigna
| Professional | $381.71 | $515.21 | $731.60 | |
United
| Professional | $407.46 | $472.16 | $946.96 |