| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $660.24 | $660.24 | $668.69 | |
Cigna
| Professional | $629.24 | $788.68 | $1,014.94 | |
United
| Professional | $612.82 | $793.06 | $1,552.45 |