| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $455.19 | $455.19 | $471.93 | |
Cigna
| Professional | $433.79 | $616.09 | $1,467.25 | |
United
| Professional | $472.68 | $557.12 | $1,095.49 |