| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,862.96 | $1,862.96 | $1,992.67 | |
Cigna
| Professional | $1,619.85 | $2,207.58 | $2,518.69 | |
United
| Professional | $1,702.66 | $2,006.79 | $4,362.39 |