| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $1,616.15 | $1,616.15 | $1,742.72 | |
Cigna
| Professional | $1,425.96 | $1,839.32 | $2,152.85 | |
United
| Professional | $1,407.83 | $1,692.01 | $3,768.39 |