| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $659.80 | $659.80 | $772.54 | |
Cigna
| Professional | $678.70 | $803.04 | $1,141.57 | |
United
| Professional | $722.08 | $929.17 | $1,277.08 |