| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $813.00 | $813.00 | $813.00 | |
Cigna
| Professional | $745.65 | $799.55 | $1,292.70 | |
United
| Professional | $681.59 | $956.48 | $2,172.02 |