| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,583.96 | $1,583.96 | $1,693.84 | |
Cigna
| Professional | $1,377.44 | $1,889.83 | $2,139.92 | |
United
| Professional | $1,445.86 | $1,674.16 | $3,348.31 |