| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $6,760.83 | $9,549.93 | |
Aetna
| Professional | $575.44 | $912.01 | $1,698.24 | |
Cigna
| Professional | $602.56 | $831.76 | $1,202.26 | |
United
| Professional | $602.56 | $758.58 | $1,230.27 |