| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,838.45 | $1,838.45 | $1,980.28 | |
Cigna
| Professional | $1,598.65 | $2,091.84 | $2,403.67 | |
United
| Professional | $1,578.31 | $1,938.74 | $4,289.89 |