| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $895.28 | $913.58 | $913.58 | |
Cigna
| Professional | $818.67 | $1,112.20 | $1,582.32 | |
United
| Professional | $799.18 | $1,034.23 | $2,048.82 |