| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $848.31 | $901.40 | $901.40 | |
Cigna
| Professional | $792.17 | $1,202.40 | $1,660.88 | |
United
| Professional | $857.82 | $960.43 | $2,112.88 |