| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $2,570.40 | $2,570.40 | |
Aetna
| Professional | $1,737.80 | $1,778.28 | $2,238.72 | |
Cigna
| Professional | $2,570.40 | $2,570.40 | $3,162.28 | |
United
| Professional | $776.25 | $1,318.26 | $3,311.31 |