| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,791.08 | $14,791.08 | $14,791.08 | |
Aetna
| Professional | $1,023.29 | $1,548.82 | $3,715.35 | |
Cigna
| Professional | $6,309.57 | $6,606.93 | $7,943.28 | |
Hally Health
| Professional | $3,801.89 | $6,760.83 | $11,481.54 | |
United
| Professional | $794.33 | $1,148.15 | $2,290.87 |