| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $632.60 | $646.04 | $646.04 | |
Cigna
| Professional | $581.27 | $782.22 | $1,118.93 | |
United
| Professional | $560.82 | $725.77 | $1,443.46 |