| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $711.28 | $711.28 | $772.90 | |
Cigna
| Professional | $635.54 | $816.99 | $957.13 | |
United
| Professional | $600.83 | $754.84 | $1,670.26 |