| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $558.25 | $569.39 | $569.39 | |
Cigna
| Professional | $513.08 | $688.02 | $986.18 | |
United
| Professional | $540.46 | $635.78 | $1,292.39 |