| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $917.71 | $939.37 | $939.37 | |
Cigna
| Professional | $840.35 | $1,148.97 | $1,626.99 | |
United
| Professional | $785.93 | $1,074.61 | $2,113.10 |