| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $485.81 | $495.87 | $495.87 | |
Cigna
| Professional | $446.91 | $602.62 | $858.85 | |
United
| Professional | $436.40 | $564.75 | $1,107.08 |