| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $684.42 | $684.42 | $704.61 | |
Cigna
| Professional | $654.91 | $925.58 | $2,206.16 | |
United
| Professional | $602.33 | $871.13 | $1,628.54 |