| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $792.10 | $809.08 | $809.08 | |
Cigna
| Professional | $725.62 | $984.15 | $1,401.33 | |
United
| Professional | $774.11 | $923.09 | $1,815.12 |