| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $809.35 | $809.35 | $876.70 | |
Cigna
| Professional | $714.66 | $977.42 | $1,088.57 | |
United
| Professional | $747.88 | $900.06 | $1,916.14 |