| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $1,021.71 | $1,054.39 | $1,054.39 | |
Cigna
| Professional | $966.05 | $1,333.47 | $1,882.69 | |
United
| Professional | $1,060.36 | $1,294.72 | $2,414.30 |