| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $590.78 | $590.78 | $638.64 | |
Cigna
| Professional | $483.74 | $708.51 | $764.86 | |
United
| Professional | $545.38 | $659.33 | $1,397.31 |