| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $534.42 | $534.42 | $611.91 | |
Cigna
| Professional | $547.54 | $734.66 | $1,051.84 | |
United
| Professional | $500.97 | $673.45 | $1,354.49 |