| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $634.32 | $634.32 | $774.49 | |
Cigna
| Professional | $613.49 | $799.62 | $896.47 | |
United
| Professional | $593.63 | $725.74 | $1,646.19 |