| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $421.94 | $449.68 | $449.68 | |
Cigna
| Professional | $404.18 | $599.26 | $828.56 | |
United
| Professional | $381.25 | $533.96 | $1,049.96 |