| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $766.50 | $766.50 | $821.65 | |
Cigna
| Professional | $669.66 | $932.78 | $1,076.94 | |
United
| Professional | $704.75 | $866.16 | $1,916.58 |