| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $547.67 | $547.67 | $593.22 | |
Cigna
| Professional | $483.56 | $641.24 | $749.78 | |
United
| Professional | $515.66 | $647.60 | $1,321.18 |