| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,280.21 | $2,408.92 | $2,408.92 | |
Cigna
| Professional | $2,138.30 | $3,159.90 | $4,438.57 | |
United
| Professional | $2,109.80 | $2,915.87 | $5,733.66 |