| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,991.82 | $1,991.82 | $2,129.40 | |
Cigna
| Professional | $1,730.72 | $2,248.44 | $2,440.51 | |
United
| Professional | $1,797.04 | $2,120.73 | $4,664.27 |