| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,161.33 | $1,229.70 | $1,229.70 | |
Cigna
| Professional | $1,092.44 | $1,656.67 | $2,265.78 | |
United
| Professional | $1,073.40 | $1,580.75 | $2,902.21 |