| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $789.72 | $789.72 | $789.72 | |
Cigna
| Professional | $704.94 | $744.69 | $1,210.16 | |
United
| Professional | $649.25 | $901.71 | $2,069.89 |