| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $581.76 | $594.34 | $594.34 | |
Cigna
| Professional | $534.91 | $719.85 | $1,029.40 | |
United
| Professional | $498.53 | $675.10 | $1,327.50 |