| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $400.28 | $400.28 | $425.92 | |
Cigna
| Professional | $388.75 | $545.83 | $657.27 | |
United
| Professional | $366.61 | $488.28 | $979.15 |