| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $985.81 | $985.81 | $1,044.33 | |
Cigna
| Professional | $928.63 | $1,338.60 | $1,618.75 | |
United
| Professional | $879.33 | $1,221.73 | $2,402.36 |