| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.81 | $1,995.26 | $4,897.79 | |
Aetna
| Professional | $630.96 | $1,000.00 | $2,398.83 | |
Cigna
| Professional | $602.56 | $831.76 | $1,288.25 | |
United
| Professional | $575.44 | $851.14 | $1,698.24 |