| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $724.44 | $933.25 | $1,949.84 | |
Cigna
| Professional | $645.65 | $977.24 | $1,380.38 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $616.60 | $831.76 | $1,288.25 |