| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $703.15 | $717.58 | $717.58 | |
Cigna
| Professional | $644.48 | $930.27 | $1,242.83 | |
United
| Professional | $620.91 | $825.96 | $1,678.79 |