| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,076.51 | $2,076.51 | $2,234.92 | |
Cigna
| Professional | $1,828.63 | $2,364.76 | $2,760.21 | |
United
| Professional | $1,650.46 | $2,135.89 | $4,861.96 |