| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $1,077.96 | $1,077.96 | $1,165.40 | |
Cigna
| Professional | $960.28 | $1,241.27 | $1,490.39 | |
United
| Professional | $980.45 | $1,135.26 | $2,512.01 |