| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $869.40 | $887.28 | $887.28 | |
Cigna
| Professional | $796.01 | $1,081.16 | $1,536.78 | |
United
| Professional | $775.85 | $1,004.05 | $1,992.01 |