| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $538.36 | $538.36 | $582.45 | |
Cigna
| Professional | $475.02 | $634.44 | $720.95 | |
United
| Professional | $496.27 | $579.82 | $1,272.18 |