| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $636.42 | $636.42 | $700.46 | |
Cigna
| Professional | $607.79 | $689.90 | $980.74 | |
United
| Professional | $628.38 | $765.47 | $1,080.75 |