| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $986.55 | $986.55 | $1,056.74 | |
Cigna
| Professional | $862.40 | $1,196.98 | $1,461.13 | |
United
| Professional | $896.85 | $1,094.89 | $2,297.82 |