| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,711.28 | $1,711.28 | $1,767.75 | |
Cigna
| Professional | $1,630.15 | $2,268.42 | $5,516.13 | |
United
| Professional | $1,751.54 | $2,266.69 | $4,101.24 |