| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $6,907.00 | $9,606.78 | |
Aetna
| Professional | $635.59 | $649.83 | $649.83 | |
Cigna
| Professional | $584.32 | $787.70 | $1,125.50 | |
United
| Professional | $574.10 | $742.95 | $1,451.37 |