| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $904.34 | $904.34 | $928.70 | |
Cigna
| Professional | $867.53 | $1,188.33 | $2,915.06 | |
United
| Professional | $819.72 | $1,060.82 | $2,156.40 |