| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $465.42 | $465.42 | $485.70 | |
Cigna
| Professional | $390.83 | $404.02 | $1,257.84 | |
United
| Professional | $302.45 | $404.08 | $1,236.25 |