| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $760.06 | $760.06 | $813.81 | |
Cigna
| Professional | $761.82 | $1,054.83 | $1,248.05 | |
United
| Professional | $742.43 | $975.67 | $1,903.03 |