| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $565.61 | $565.61 | $603.65 | |
Cigna
| Professional | $567.16 | $771.36 | $928.76 | |
United
| Professional | $539.27 | $713.66 | $1,403.31 |