| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $646.07 | $661.74 | $661.74 | |
Cigna
| Professional | $593.73 | $824.44 | $1,146.14 | |
United
| Professional | $649.98 | $847.64 | $1,479.90 |