| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $301.98 | $1,000.05 | $1,525.06 | |
Cigna
| Professional | $315.27 | $870.71 | $2,067.03 | |
United
| Professional | $1,120.38 | $1,550.12 | $3,038.59 |