| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $507.22 | $507.22 | $545.38 | |
Cigna
| Professional | $418.10 | $605.04 | $706.30 | |
United
| Professional | $460.99 | $558.33 | $1,181.09 |