| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $7,265.00 | |
Aetna
| Professional | $904.00 | $904.00 | $971.01 | |
Cigna
| Professional | $869.63 | $1,209.56 | $1,484.41 | |
United
| Professional | $844.05 | $1,125.30 | $2,212.75 |