| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $249.40 | $320.82 | $387.28 | |
Cigna
| Professional | $279.47 | $481.79 | $694.23 | |
United
| Professional | $409.47 | $649.92 | $934.44 |