| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $974.34 | $974.34 | $1,044.39 | |
Cigna
| Professional | $976.78 | $1,352.75 | $1,599.91 | |
United
| Professional | $973.52 | $1,259.84 | $2,442.50 |