| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $1,191.30 | $1,191.30 | $1,211.25 | |
Cigna
| Professional | $1,114.03 | $1,545.24 | $2,195.04 | |
United
| Professional | $1,207.91 | $1,558.36 | $2,779.74 |