| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $883.46 | $902.17 | $902.17 | |
Cigna
| Professional | $808.65 | $1,098.69 | $1,562.56 | |
United
| Professional | $784.86 | $1,015.70 | $2,022.77 |