| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $635.04 | $635.04 | $682.29 | |
Cigna
| Professional | $558.33 | $730.33 | $846.70 | |
United
| Professional | $586.29 | $695.93 | $1,355.02 |