| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,197.94 | $1,197.94 | $1,197.94 | |
Aetna
| Professional | $1,160.00 | $1,183.56 | $1,197.94 | |
Cigna
| Professional | $1,887.00 | $1,887.00 | $1,887.00 | |
United
| Professional | $487.20 | $487.20 | $1,160.00 |