| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $782.22 | $782.22 | $896.01 | |
Cigna
| Professional | $796.08 | $1,082.52 | $1,539.54 | |
United
| Professional | $775.68 | $1,003.82 | $1,996.58 |