| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $814.31 | $814.31 | $875.88 | |
Cigna
| Professional | $794.03 | $1,094.39 | $2,681.90 | |
United
| Professional | $823.39 | $1,065.56 | $1,992.12 |