| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $469.68 | $480.49 | $480.49 | |
Cigna
| Professional | $432.38 | $582.39 | $832.21 | |
United
| Professional | $395.63 | $543.08 | $1,067.89 |