| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $642.92 | $642.92 | $689.67 | |
Cigna
| Professional | $527.65 | $765.12 | $945.95 | |
United
| Professional | $584.41 | $731.13 | $1,353.37 |