| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $1,969.04 | $2,291.65 | $2,291.65 | |
Cigna
| Professional | $1,931.54 | $2,687.97 | $3,816.49 | |
United
| Professional | $1,893.06 | $2,418.48 | $4,812.55 |