| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $764.43 | $764.43 | $787.64 | |
Cigna
| Professional | $729.98 | $1,035.71 | $2,464.08 | |
United
| Professional | $673.28 | $946.45 | $1,820.38 |