| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $698.08 | $748.82 | $748.82 | |
Cigna
| Professional | $640.63 | $864.46 | $1,296.95 | |
United
| Professional | $659.22 | $853.11 | $1,681.28 |