| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $978.62 | $978.62 | $1,121.09 | |
Cigna
| Professional | $996.05 | $1,354.01 | $1,926.10 | |
United
| Professional | $946.70 | $1,240.38 | $2,497.31 |