| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,202.60 | $4,202.60 | $6,907.00 | |
Aetna
| Professional | $441.24 | $441.24 | $505.66 | |
Cigna
| Professional | $451.35 | $609.05 | $868.44 | |
United
| Professional | $433.32 | $560.77 | $1,122.06 |