| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $485.50 | $495.52 | $495.52 | |
Cigna
| Professional | $446.60 | $601.74 | $858.24 | |
United
| Professional | $473.54 | $555.41 | $1,106.29 |