| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $676.08 | $831.76 | $1,659.59 | |
Cigna
| Professional | $676.08 | $912.01 | $1,071.52 | |
United
| Professional | $707.95 | $812.83 | $1,737.80 |