| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $699.27 | $699.27 | $699.27 | |
Cigna
| Professional | $637.66 | $685.28 | $1,075.46 | |
United
| Professional | $575.99 | $797.15 | $1,836.19 |