| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $857.59 | $1,025.03 | $1,212.76 | |
Cigna
| Professional | $750.40 | $1,159.77 | $1,806.63 | |
United
| Professional | $1,001.86 | $1,678.11 | $2,708.77 |