| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,083.00 | $2,493.00 | $7,934.00 | |
Aetna
| Professional | $40.00 | $2,719.85 | $2,719.85 | |
Cigna
| Professional | $24.00 | $24.00 | $24.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |