| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $790.44 | $807.01 | $807.01 | |
Cigna
| Professional | $724.12 | $981.12 | $1,397.74 | |
United
| Professional | $716.91 | $960.19 | $1,841.36 |