| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $812.13 | $812.13 | $817.53 | |
Cigna
| Professional | $762.48 | $1,043.35 | $1,496.40 | |
United
| Professional | $754.45 | $945.42 | $1,859.03 |