| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,649.59 | $1,649.59 | $1,800.94 | |
Cigna
| Professional | $1,613.31 | $2,259.61 | $2,713.13 | |
United
| Professional | $1,575.05 | $2,125.63 | $4,184.80 |