| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $451.38 | $460.46 | $460.46 | |
Cigna
| Professional | $414.89 | $560.54 | $797.53 | |
United
| Professional | $437.55 | $518.14 | $1,029.72 |