| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $906.13 | $960.96 | $960.96 | |
Cigna
| Professional | $848.33 | $1,128.38 | $1,770.62 | |
United
| Professional | $806.10 | $1,044.04 | $2,266.82 |