| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $117.95 | $119.70 | $126.88 | |
Cigna
| Professional | $119.10 | $166.82 | $196.14 | |
United
| Professional | $121.04 | $167.05 | $306.22 |