| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $3,766.53 | $4,040.97 | $4,040.97 | |
Cigna
| Professional | $3,335.41 | $4,720.70 | $7,445.70 | |
United
| Professional | $3,335.60 | $4,377.93 | $9,611.83 |