| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,779.19 | $1,779.19 | $1,930.58 | |
Cigna
| Professional | $1,575.19 | $2,039.43 | $2,422.98 | |
United
| Professional | $1,528.30 | $1,890.97 | $4,185.34 |