| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $319.18 | $319.18 | $426.80 | |
Cigna
| Professional | $328.49 | $533.90 | $758.97 | |
United
| Professional | $387.79 | $573.17 | $1,239.13 |