| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $6,907.00 | $14,410.17 | |
Aetna
| Professional | $732.32 | $800.08 | $839.07 | |
Cigna
| Professional | $746.93 | $1,012.68 | $1,441.35 | |
United
| Professional | $820.17 | $1,004.61 | $1,867.40 |