| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $137.56 | $169.74 | $1,707.08 | |
Cigna
| Professional | $180.65 | $295.12 | $4,447.67 | |
United
| Professional | $1,858.24 | $4,286.07 | $5,755.72 |