| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $917.24 | $973.52 | $973.52 | |
Cigna
| Professional | $868.71 | $1,300.70 | $1,793.76 | |
United
| Professional | $837.78 | $1,072.46 | $2,283.13 |