| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $688.26 | $699.36 | $699.36 | |
Cigna
| Professional | $644.71 | $896.29 | $1,288.59 | |
United
| Professional | $596.70 | $820.46 | $1,613.32 |