| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $851.14 | $954.99 | $2,398.83 | |
Cigna
| Professional | $758.58 | $1,047.13 | $1,548.82 | |
United
| Professional | $707.95 | $933.25 | $1,479.11 |