| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $625.91 | $625.91 | $762.69 | |
Cigna
| Professional | $578.07 | $705.57 | $1,016.45 | |
United
| Professional | $629.04 | $912.45 | $2,467.26 |