| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,217.45 | $1,242.90 | $1,242.90 | |
Cigna
| Professional | $1,112.38 | $1,514.18 | $2,152.71 | |
United
| Professional | $1,184.33 | $1,389.13 | $2,790.96 |