| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $461.74 | $461.74 | $500.57 | |
Cigna
| Professional | $408.28 | $568.71 | $645.19 | |
United
| Professional | $427.78 | $520.51 | $1,093.61 |