| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,980.17 | $2,092.92 | $2,092.92 | |
Cigna
| Professional | $1,913.90 | $2,836.48 | $3,856.33 | |
United
| Professional | $1,871.57 | $2,527.29 | $4,969.58 |