| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,583.00 | $6,583.00 | $9,090.79 | |
Aetna
| Professional | $3,134.76 | $6,217.27 | $6,583.00 | |
Cigna
| Facility | $3,395.99 | $3,939.35 | $7,810.78 | |
United
| Professional | $2,194.33 | $3,134.76 | $5,224.60 |