| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $811.10 | $811.10 | $836.32 | |
Cigna
| Professional | $774.79 | $1,101.02 | $2,614.51 | |
United
| Professional | $845.06 | $1,081.56 | $1,933.27 |