| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $521.78 | $521.78 | $639.91 | |
Cigna
| Professional | $493.27 | $643.32 | $914.52 | |
United
| Professional | $546.39 | $756.18 | $1,663.60 |