| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $833.50 | $833.50 | $953.99 | |
Cigna
| Professional | $848.19 | $1,176.52 | $1,640.48 | |
United
| Professional | $877.53 | $1,135.63 | $2,120.09 |