| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,665.13 | $2,665.13 | $2,844.34 | |
Cigna
| Professional | $2,530.73 | $3,644.01 | $4,376.26 | |
United
| Professional | $2,402.13 | $3,368.24 | $6,623.19 |