| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $467.74 | $575.44 | $1,288.25 | |
Cigna
| Professional | $446.68 | $588.84 | $660.69 | |
United
| Professional | $478.63 | $562.34 | $1,122.02 |