| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $567.98 | $567.98 | $567.98 | |
Cigna
| Professional | $490.93 | $527.91 | $784.72 | |
United
| Professional | $468.12 | $614.58 | $1,492.52 |