| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $667.82 | $667.82 | $723.45 | |
Cigna
| Professional | $589.72 | $806.34 | $898.16 | |
United
| Professional | $635.96 | $734.48 | $1,468.96 |