| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $729.42 | $729.42 | $794.61 | |
Cigna
| Professional | $569.70 | $796.28 | $898.46 | |
United
| Professional | $562.84 | $696.34 | $1,685.13 |