| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,886.74 | $2,886.74 | $2,886.74 | |
Aetna
| Professional | $1,681.84 | $1,681.84 | $2,083.46 | |
Cigna
| Facility | $1,812.93 | $1,812.93 | $1,812.93 | |
United
| Professional | $1,129.58 | $1,673.47 | $5,522.46 |