| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $591.85 | $594.04 | $594.04 | |
Cigna
| Professional | $536.08 | $727.02 | $1,094.57 | |
United
| Professional | $530.21 | $642.40 | $1,328.04 |