| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,835.00 | $6,835.00 | $6,907.00 | |
Aetna
| Professional | $518.60 | $753.44 | $875.52 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
Cigna
| Professional | $539.79 | $694.71 | $1,266.94 | |
United
| Professional | $513.47 | $620.02 | $1,501.73 |