| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $404.09 | $404.09 | $440.73 | |
Cigna
| Professional | $367.88 | $565.28 | $635.17 | |
United
| Professional | $387.71 | $484.20 | $1,010.21 |