| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $88.56 | $105.47 | $158.49 | |
Cigna
| Professional | $93.46 | $143.10 | $203.75 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Professional | $113.11 | $148.50 | $321.29 |