| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,709.10 | $1,709.10 | $6,907.00 | |
Aetna
| Professional | $665.02 | $665.02 | $714.29 | |
Cigna
| Professional | $666.67 | $946.64 | $1,092.00 | |
United
| Professional | $731.52 | $915.81 | $1,683.64 |