| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $387.16 | $387.16 | $442.64 | |
Cigna
| Professional | $395.85 | $532.20 | $762.00 | |
United
| Professional | $372.05 | $488.39 | $980.79 |