| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $394.00 | $3,276.00 | $10,802.00 | |
Aetna
| Professional | $36.00 | $36.00 | $36.00 | |
Cigna
| Facility | $323.00 | $323.00 | $323.00 | |
United
| Facility | $366.00 | $1,950.00 | $4,970.00 | |
Wellpoint
| Professional | $16.00 | $16.00 | $16.00 |