| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $893.54 | $1,104.41 | $1,172.53 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
Cigna
| Professional | $786.99 | $852.61 | $1,306.41 | |
United
| Professional | $757.90 | $896.70 | $2,178.83 |