| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $780.76 | $780.76 | $780.76 | |
Cigna
| Professional | $715.01 | $780.81 | $1,224.65 | |
United
| Professional | $650.01 | $904.14 | $2,071.63 |