| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $692.94 | $692.94 | $743.45 | |
Cigna
| Professional | $697.17 | $914.34 | $1,137.83 | |
United
| Professional | $678.19 | $878.69 | $1,727.83 |