| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $921.85 | $940.68 | $940.68 | |
Cigna
| Professional | $843.23 | $1,150.20 | $1,629.27 | |
United
| Professional | $898.17 | $1,084.18 | $2,110.37 |