| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $802.55 | $802.55 | $802.55 | |
Cigna
| Professional | $728.81 | $773.55 | $1,253.74 | |
United
| Professional | $664.66 | $869.86 | $2,118.48 |