| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $707.57 | $707.57 | $723.65 | |
Cigna
| Professional | $664.88 | $919.22 | $2,280.77 | |
United
| Professional | $614.29 | $816.46 | $1,660.90 |