| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $490.22 | $490.22 | $523.92 | |
Cigna
| Professional | $424.66 | $562.78 | $684.36 | |
United
| Professional | $429.28 | $519.97 | $1,150.55 |