| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $893.42 | $893.42 | $893.42 | |
Cigna
| Professional | $845.81 | $895.60 | $1,340.05 | |
United
| Professional | $740.20 | $1,025.86 | $2,359.19 |