| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,169.96 | $1,189.33 | $1,189.33 | |
Cigna
| Professional | $1,133.46 | $1,539.51 | $1,847.94 | |
United
| Professional | $1,076.14 | $1,392.66 | $2,826.26 |