| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,747.26 | $2,027.48 | $2,027.48 | |
Cigna
| Professional | $1,712.17 | $2,391.39 | $3,376.53 | |
United
| Professional | $1,785.98 | $2,311.27 | $4,285.97 |