| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,837.52 | $1,940.24 | $1,940.24 | |
Cigna
| Professional | $1,698.79 | $2,766.02 | $3,575.00 | |
United
| Professional | $1,687.80 | $2,284.57 | $4,621.96 |