| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $579.26 | $591.87 | $591.87 | |
Cigna
| Professional | $532.45 | $716.32 | $1,025.11 | |
United
| Professional | $559.54 | $658.98 | $1,321.14 |