| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,452.48 | $1,452.48 | $1,572.49 | |
Cigna
| Professional | $1,284.56 | $1,663.32 | $1,965.20 | |
United
| Professional | $1,337.32 | $1,529.95 | $3,096.96 |