| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $263.93 | $263.93 | $281.87 | |
Cigna
| Professional | $264.89 | $357.98 | $433.39 | |
United
| Professional | $267.45 | $346.13 | $653.75 |