| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,708.24 | $9,708.24 | $9,708.24 | |
Aetna
| Professional | $406.56 | $406.56 | $446.07 | |
Cigna
| Professional | $352.91 | $374.39 | $780.39 | |
United
| Professional | $421.88 | $590.14 | $1,089.08 |