| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $947.35 | $947.35 | $977.06 | |
Cigna
| Professional | $906.44 | $1,243.81 | $3,053.70 | |
United
| Professional | $838.10 | $1,127.95 | $2,259.73 |