| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $946.50 | $946.50 | $1,083.48 | |
Cigna
| Professional | $963.04 | $1,327.89 | $1,862.89 | |
United
| Professional | $1,047.54 | $1,245.08 | $2,412.85 |