| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,705.58 | $2,717.43 | $3,353.24 | |
Cigna
| Facility | $2,151.00 | $2,151.00 | $2,151.00 | |
Cigna
| Professional | $2,332.42 | $3,108.15 | $4,670.18 | |
United
| Facility | $324.00 | $960.00 | $960.00 | |
United
| Professional | $2,314.35 | $2,873.36 | $6,294.51 |