| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.79 | $1,949.79 | $6,907.00 | |
Aetna
| Professional | $306.07 | $587.60 | $767.21 | |
Cigna
| Professional | $344.09 | $588.34 | $926.14 | |
United
| Professional | $518.73 | $724.07 | $1,519.96 |