| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $52.48 | $109.65 | $288.40 | |
Cigna
| Professional | $46.77 | $97.72 | $204.17 | |
United
| Facility | $144.54 | $144.54 | $501.19 | |
United
| Professional | $54.95 | $104.71 | $190.55 |