| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,025.60 | $6,025.60 | $7,244.36 | |
Aetna
| Professional | $489.78 | $602.56 | $1,258.93 | |
Cigna
| Professional | $489.78 | $676.08 | $758.58 | |
United
| Professional | $537.03 | $616.60 | $1,230.27 |