| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $376.68 | $377.40 | $377.40 | |
Cigna
| Professional | $349.09 | $467.06 | $562.22 | |
United
| Professional | $364.52 | $457.15 | $829.96 |