| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $433.59 | $433.59 | $466.60 | |
Cigna
| Professional | $358.27 | $517.65 | $604.71 | |
United
| Professional | $396.27 | $479.38 | $1,085.08 |