| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,355.75 | $1,355.75 | $1,449.84 | |
Cigna
| Professional | $1,179.07 | $1,554.82 | $1,833.82 | |
United
| Professional | $1,237.54 | $1,479.90 | $3,170.70 |