| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $363.17 | $416.99 | $1,482.53 | |
Cigna
| Professional | $295.13 | $487.23 | $1,872.49 | |
United
| Professional | $1,231.89 | $1,406.99 | $3,227.68 |