| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $891.85 | $891.85 | $960.80 | |
Cigna
| Professional | $769.48 | $1,012.47 | $1,171.08 | |
United
| Professional | $747.29 | $928.39 | $2,073.65 |