| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $933.25 | $1,148.15 | $2,454.71 | |
Cigna
| Professional | $851.14 | $1,148.15 | $1,698.24 | |
United
| Professional | $851.14 | $1,071.52 | $1,698.24 |