| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,693.30 | $2,693.30 | $2,877.33 | |
Cigna
| Professional | $2,336.96 | $3,089.07 | $3,626.44 | |
United
| Professional | $2,370.34 | $2,853.00 | $6,312.92 |