| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $981.73 | $981.73 | $981.73 | |
Cigna
| Professional | $755.17 | $993.50 | $1,523.67 | |
United
| Professional | $815.03 | $1,137.17 | $2,613.36 |