| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $327.91 | $363.83 | $1,994.57 | |
Cigna
| Professional | $350.93 | $447.57 | $2,112.77 | |
United
| Professional | $1,595.29 | $1,946.18 | $4,087.29 |