| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $872.16 | $872.16 | $935.57 | |
Cigna
| Professional | $875.29 | $1,199.10 | $1,432.13 | |
United
| Professional | $838.37 | $1,111.10 | $2,164.80 |