| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $791.25 | $841.04 | $841.04 | |
Cigna
| Professional | $764.07 | $1,128.66 | $1,549.67 | |
United
| Professional | $721.59 | $1,006.39 | $1,978.93 |