| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,140.00 | $4,140.00 | $4,140.00 | |
Aetna
| Professional | $2,412.00 | $2,412.00 | $2,988.00 | |
Cigna
| Professional | $1,832.30 | $2,029.55 | $5,373.36 | |
United
| Professional | $1,512.00 | $2,160.00 | $7,920.00 |