| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $1,075.72 | $1,075.72 | $1,075.72 | |
Cigna
| Professional | $934.60 | $1,263.19 | $1,509.42 | |
United
| Professional | $911.59 | $1,138.75 | $1,633.10 |