| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $691.42 | $810.55 | $810.55 | |
Cigna
| Professional | $798.82 | $1,073.85 | $1,273.08 | |
United
| Professional | $764.47 | $977.24 | $1,950.36 |