| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $418.70 | $418.70 | $445.62 | |
Cigna
| Professional | $407.23 | $557.54 | $687.53 | |
United
| Professional | $377.83 | $520.91 | $1,024.29 |