| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $248.32 | $302.49 | $377.88 | |
Cigna
| Professional | $332.58 | $455.34 | $593.52 | |
United
| Professional | $365.45 | $508.62 | $920.23 |