| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $363.35 | $363.35 | $403.13 | |
Cigna
| Professional | $305.49 | $335.34 | $1,043.99 | |
United
| Professional | $215.07 | $453.61 | $1,092.08 |