| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $134.33 | $164.52 | $169.18 | |
Cigna
| Professional | $120.32 | $172.93 | $242.66 | |
United
| Professional | $135.50 | $175.80 | $367.62 |