| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $760.51 | $776.96 | $776.96 | |
Cigna
| Professional | $697.97 | $966.61 | $1,345.70 | |
United
| Professional | $764.37 | $1,116.92 | $1,740.35 |