| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $371.13 | $371.13 | $396.12 | |
Cigna
| Professional | $321.08 | $623.59 | $723.88 | |
United
| Professional | $361.53 | $574.38 | $904.08 |