| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $943.68 | $1,001.45 | $1,001.45 | |
Cigna
| Professional | $774.04 | $1,342.56 | $1,845.22 | |
United
| Professional | $752.47 | $1,116.26 | $2,355.59 |