| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $880.37 | $880.37 | $1,149.71 | |
Cigna
| Professional | $944.19 | $1,215.50 | $1,424.58 | |
United
| Professional | $956.49 | $1,132.02 | $2,489.01 |