| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $893.32 | $893.32 | $1,212.98 | |
Cigna
| Professional | $989.44 | $1,280.83 | $1,502.89 | |
United
| Professional | $1,024.17 | $1,190.44 | $2,624.02 |