| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $666.24 | $666.24 | $763.89 | |
Cigna
| Professional | $679.56 | $921.01 | $1,311.29 | |
United
| Professional | $661.65 | $856.25 | $1,697.57 |