| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,190.09 | $1,190.09 | $1,274.42 | |
Cigna
| Professional | $1,026.30 | $1,343.19 | $1,585.60 | |
United
| Professional | $592.41 | $1,110.97 | $2,781.16 |