| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,572.37 | $1,572.37 | $1,706.46 | |
Cigna
| Professional | $1,399.00 | $1,798.79 | $2,101.12 | |
United
| Professional | $1,440.65 | $1,732.32 | $3,691.09 |