| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $899.92 | $954.61 | $954.61 | |
Cigna
| Professional | $868.16 | $1,279.39 | $1,758.92 | |
United
| Professional | $830.80 | $1,142.34 | $2,246.28 |