| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,025.60 | $6,025.60 | $7,244.36 | |
Aetna
| Professional | $371.54 | $457.09 | $977.24 | |
Cigna
| Professional | $371.54 | $478.63 | $575.44 | |
United
| Professional | $380.19 | $436.52 | $870.96 |