| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $515.83 | $515.83 | $559.78 | |
Cigna
| Professional | $456.52 | $634.23 | $719.82 | |
United
| Professional | $477.19 | $580.69 | $1,218.84 |