| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $2,398.83 | $2,398.83 | |
Aetna
| Professional | $1,621.81 | $1,737.80 | $2,089.30 | |
Cigna
| Professional | $2,398.83 | $2,398.83 | $2,951.21 | |
United
| Professional | $724.44 | $1,258.93 | $3,090.30 |