| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $784.90 | $784.90 | $807.49 | |
Cigna
| Professional | $749.66 | $1,026.75 | $1,446.23 | |
United
| Professional | $787.99 | $961.62 | $1,862.52 |