| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $660.69 | $1,023.29 | $2,344.23 | |
Cigna
| Professional | $676.08 | $831.76 | $1,230.27 | |
United
| Professional | $630.96 | $870.96 | $1,737.80 |