| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $766.40 | $897.32 | $897.32 | |
Cigna
| Professional | $883.91 | $1,044.28 | $1,409.38 | |
United
| Professional | $864.48 | $1,000.98 | $2,165.21 |