| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $354.81 | $912.01 | $2,754.23 | |
Cigna
| Professional | $295.12 | $478.63 | $1,445.44 | |
United
| Professional | $323.59 | $812.83 | $1,548.82 |