| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $325.02 | $325.02 | $330.05 | |
Cigna
| Professional | $295.22 | $427.33 | $1,047.67 | |
United
| Professional | $295.94 | $394.53 | $775.78 |