| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $818.96 | $818.96 | $818.96 | |
Cigna
| Professional | $761.24 | $809.88 | $1,216.77 | |
United
| Professional | $663.65 | $920.61 | $2,115.12 |