| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $311.55 | $311.55 | $329.18 | |
Cigna
| Professional | $299.95 | $399.53 | $511.58 | |
United
| Professional | $290.51 | $381.10 | $749.37 |