| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,489.63 | $13,489.63 | $13,489.63 | |
Aetna
| Professional | $776.25 | $1,995.26 | $3,162.28 | |
Cigna
| Professional | $602.56 | $1,445.44 | $3,801.89 | |
United
| Professional | $870.96 | $1,905.46 | $6,309.57 |