| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $452.51 | $464.39 | $464.39 | |
Cigna
| Professional | $399.95 | $539.69 | $855.66 | |
United
| Professional | $374.99 | $506.63 | $1,007.09 |