| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,940.00 | $5,845.92 | $5,845.92 | |
Aetna
| Professional | $863.09 | $1,094.04 | $1,296.51 | |
Cigna
| Professional | $893.01 | $1,325.54 | $1,945.98 | |
United
| Professional | $824.06 | $1,278.69 | $2,193.53 |