| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $927.91 | $947.26 | $947.26 | |
Cigna
| Professional | $849.32 | $1,153.44 | $1,640.66 | |
United
| Professional | $824.39 | $1,066.85 | $2,125.36 |