| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $804.63 | $804.63 | $921.75 | |
Cigna
| Professional | $820.30 | $1,113.19 | $1,583.65 | |
United
| Professional | $880.37 | $979.70 | $2,085.56 |