| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $2,586.23 | $2,731.21 | $2,731.21 | |
Cigna
| Professional | $2,596.73 | $3,717.81 | $5,032.39 | |
United
| Professional | $2,536.83 | $3,282.96 | $6,514.67 |