| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $558.85 | $558.85 | $558.85 | |
Cigna
| Professional | $486.39 | $522.25 | $806.17 | |
United
| Professional | $444.88 | $583.65 | $1,418.25 |