| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $903.28 | $1,034.68 | $1,084.54 | |
Cigna
| Professional | $919.31 | $1,230.06 | $1,777.83 | |
United
| Professional | $951.27 | $1,231.05 | $2,307.75 |