| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $423.37 | $446.21 | $446.21 | |
Cigna
| Professional | $424.28 | $577.70 | $822.17 | |
United
| Professional | $427.94 | $587.53 | $1,072.50 |