| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $903.62 | $903.62 | $978.03 | |
Cigna
| Professional | $797.45 | $1,145.42 | $1,301.09 | |
United
| Professional | $853.32 | $1,167.74 | $2,138.32 |