| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $509.84 | $509.84 | $552.17 | |
Cigna
| Professional | $450.34 | $645.41 | $733.30 | |
United
| Professional | $481.02 | $593.23 | $1,205.54 |