| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $497.57 | $497.57 | $541.77 | |
Cigna
| Professional | $446.18 | $633.47 | $723.53 | |
United
| Professional | $463.81 | $592.87 | $1,171.58 |