| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $415.49 | $415.49 | $453.26 | |
Cigna
| Professional | $374.49 | $477.57 | $578.37 | |
United
| Professional | $378.96 | $484.59 | $970.95 |