| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $927.67 | $927.67 | $927.67 | |
Cigna
| Professional | $814.37 | $864.66 | $1,404.76 | |
United
| Professional | $762.81 | $961.14 | $2,331.65 |