| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $858.55 | $858.55 | $935.65 | |
Cigna
| Professional | $765.46 | $983.74 | $1,146.44 | |
United
| Professional | $774.78 | $906.65 | $2,006.18 |