| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,109.33 | $1,109.33 | $1,196.92 | |
Cigna
| Professional | $953.15 | $1,261.78 | $1,454.45 | |
United
| Professional | $901.23 | $1,118.68 | $2,580.14 |