| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $998.84 | $998.84 | $1,009.81 | |
Cigna
| Professional | $907.14 | $1,276.48 | $1,535.45 | |
United
| Professional | $873.15 | $1,129.96 | $2,337.51 |