| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.76 | $20,994.81 | $44,307.10 | |
Aetna
| Professional | $21.30 | $21.31 | $15,225.00 | |
Cigna
| Professional | $21.31 | $21.31 | $21.31 | |
United
| Professional | $21.31 | $29.66 | $36.33 |