| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $729.13 | $883.65 | $885.02 | |
Cigna
| Professional | $663.83 | $895.19 | $1,272.58 | |
United
| Professional | $723.02 | $952.98 | $1,514.66 |