| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $457.25 | $457.25 | $491.19 | |
Cigna
| Professional | $400.56 | $519.85 | $649.51 | |
United
| Professional | $418.87 | $534.58 | $1,073.20 |