| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,977.81 | $2,977.81 | $2,977.81 | |
Aetna
| Professional | $1,865.69 | $2,183.59 | $2,977.81 | |
Cigna
| Professional | $2,442.56 | $3,018.25 | $3,963.65 | |
United
| Professional | $2,100.00 | $2,300.00 | $6,153.27 |