| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,202.26 | $3,202.26 | $6,907.00 | |
Aetna
| Professional | $638.26 | $638.26 | $731.41 | |
Cigna
| Professional | $651.90 | $881.24 | $1,256.20 | |
United
| Professional | $638.30 | $826.05 | $1,623.57 |