| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $103.02 | $108.31 | $108.31 | |
Cigna
| Professional | $102.26 | $121.74 | $199.57 | |
United
| Professional | $95.47 | $130.83 | $257.27 |