| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,485.00 | $2,676.00 | $3,409.00 | |
Cigna
| Facility | $910.00 | $2,426.00 | $4,742.00 | |
United
| Facility | $711.00 | $1,332.00 | $3,111.00 | |
Wellpoint
| Facility | $1,554.00 | $2,550.00 | $2,785.00 |