| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $8,405.21 | $15,883.62 | |
Aetna
| Professional | $670.13 | $670.13 | $766.78 | |
Cigna
| Professional | $682.25 | $927.44 | $1,318.93 | |
United
| Professional | $702.52 | $909.14 | $1,708.62 |