| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $704.70 | $717.73 | $732.45 | |
Cigna
| Professional | $639.51 | $898.37 | $1,243.10 | |
United
| Professional | $703.82 | $889.89 | $1,628.93 |