| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $1,043.51 | $1,043.51 | $1,059.96 | |
Cigna
| Professional | $974.80 | $1,350.84 | $1,922.72 | |
United
| Professional | $1,044.17 | $1,351.28 | $2,427.53 |