| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $476.54 | $503.23 | $513.30 | |
Cigna
| Professional | $456.64 | $607.33 | $945.80 | |
United
| Professional | $449.02 | $581.09 | $1,123.98 |