| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $4,803.39 | $6,907.00 | |
Aetna
| Professional | $149.79 | $175.30 | $239.24 | |
Cigna
| Professional | $148.40 | $217.08 | $332.41 | |
United
| Professional | $194.68 | $237.33 | $490.07 |