| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $339.70 | $345.88 | $345.88 | |
Cigna
| Professional | $309.49 | $458.13 | $599.05 | |
United
| Professional | $347.73 | $434.27 | $783.87 |