| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $379.51 | $416.46 | $1,623.60 | |
Cigna
| Professional | $422.81 | $1,050.89 | $2,194.25 | |
United
| Professional | $1,336.81 | $2,061.71 | $3,425.05 |