| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $316.23 | $398.11 | $831.76 | |
Cigna
| Professional | $288.40 | $407.38 | $588.84 | |
United
| Professional | $309.03 | $371.54 | $588.84 |