| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $566.10 | $689.66 | $692.41 | |
Cigna
| Professional | $574.38 | $736.04 | $1,046.33 | |
United
| Professional | $587.00 | $887.24 | $2,253.21 |