| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,763.43 | $1,763.43 | $1,912.98 | |
Cigna
| Professional | $1,567.50 | $2,019.89 | $2,404.05 | |
United
| Professional | $1,469.62 | $1,833.28 | $4,146.93 |