| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $4,975.00 | $15,893.00 | |
Aetna
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $24.00 | $24.00 | $24.00 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |