| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $629.85 | $629.85 | $721.13 | |
Cigna
| Professional | $642.03 | $872.84 | $1,239.67 | |
United
| Professional | $633.70 | $820.08 | $1,606.03 |