| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $527.14 | $554.35 | $603.30 | |
Cigna
| Professional | $538.08 | $746.60 | $1,037.50 | |
United
| Professional | $543.01 | $702.72 | $1,343.89 |