| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $922.01 | $922.01 | $1,003.41 | |
Cigna
| Professional | $826.50 | $1,054.34 | $1,221.56 | |
United
| Professional | $823.67 | $971.76 | $2,151.83 |