| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,023.11 | $1,023.11 | $1,103.77 | |
Cigna
| Professional | $905.94 | $1,167.67 | $1,278.53 | |
United
| Professional | $933.92 | $1,081.38 | $2,162.75 |