| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,025.60 | $6,025.60 | $7,244.36 | |
Aetna
| Professional | $467.74 | $630.96 | $1,412.54 | |
Cigna
| Professional | $489.78 | $660.69 | $954.99 | |
United
| Professional | $467.74 | $616.60 | $954.99 |