| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $724.44 | $891.25 | $1,778.28 | |
Cigna
| Professional | $660.69 | $912.01 | $1,096.48 | |
United
| Professional | $741.31 | $891.25 | $1,737.80 |