| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,835.00 | $6,835.00 | $6,907.00 | |
Aetna
| Professional | $701.77 | $944.30 | $1,087.02 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
Cigna
| Professional | $627.55 | $862.53 | $1,472.93 | |
United
| Professional | $667.98 | $759.46 | $1,806.04 |