| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $627.51 | $627.51 | $627.51 | |
Cigna
| Professional | $582.72 | $737.79 | $896.98 | |
United
| Professional | $447.91 | $663.44 | $947.77 |