| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $424.42 | $434.04 | $434.04 | |
Cigna
| Professional | $390.72 | $525.22 | $751.76 | |
United
| Professional | $375.06 | $486.69 | $965.78 |