| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $615.83 | $615.83 | $705.58 | |
Cigna
| Professional | $628.41 | $850.50 | $1,212.07 | |
United
| Professional | $688.37 | $986.38 | $1,567.31 |