| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $506.62 | $506.62 | $574.98 | |
Cigna
| Professional | $473.27 | $685.63 | $997.11 | |
United
| Professional | $452.00 | $588.13 | $1,270.58 |