| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $303.89 | $352.70 | $1,493.83 | |
Cigna
| Professional | $275.80 | $412.82 | $1,597.66 | |
United
| Professional | $1,073.58 | $1,442.66 | $2,812.05 |