| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $837.60 | $837.60 | $959.38 | |
Cigna
| Professional | $852.67 | $1,163.16 | $1,648.55 | |
United
| Professional | $939.73 | $1,098.99 | $2,139.62 |