| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $331.13 | $1,202.26 | $3,467.37 | |
Cigna
| Professional | $295.12 | $457.09 | $1,737.80 | |
United
| Professional | $331.13 | $851.14 | $2,089.30 |