| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $2,761.00 | $4,100.00 | |
Aetna
| Professional | $627.98 | $627.98 | $627.98 | |
Cigna
| Facility | $13,832.00 | $20,514.00 | $37,262.00 | |
United
| Facility | $165.00 | $442.00 | $82,705.00 |