| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,025.60 | $6,025.60 | $7,244.36 | |
Aetna
| Professional | $537.03 | $588.84 | $1,412.54 | |
Cigna
| Professional | $489.78 | $707.95 | $1,000.00 | |
United
| Professional | $457.09 | $645.65 | $977.24 |