| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $1,688.68 | $1,688.68 | $1,701.53 | |
Cigna
| Professional | $1,584.54 | $2,174.12 | $3,111.48 | |
United
| Professional | $1,684.97 | $2,111.69 | $3,883.00 |