| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $797.90 | $797.90 | $797.90 | |
Cigna
| Professional | $715.14 | $807.03 | $1,238.50 | |
United
| Professional | $666.43 | $923.90 | $2,123.86 |