| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $847.32 | $847.32 | $917.53 | |
Cigna
| Professional | $748.15 | $997.80 | $1,133.75 | |
United
| Professional | $780.04 | $911.47 | $2,004.16 |