| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $820.43 | $820.43 | $878.05 | |
Cigna
| Professional | $527.78 | $739.12 | $910.46 | |
United
| Professional | $492.07 | $585.14 | $1,668.06 |