| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $903.59 | $903.59 | $978.72 | |
Cigna
| Professional | $797.80 | $1,039.34 | $1,217.99 | |
United
| Professional | $772.45 | $926.99 | $2,146.28 |