| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $832.38 | $832.38 | $832.38 | |
Cigna
| Professional | $788.09 | $838.43 | $1,256.39 | |
United
| Professional | $783.97 | $947.49 | $1,359.76 |