| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $725.57 | $725.57 | $773.62 | |
Cigna
| Professional | $725.09 | $901.99 | $1,191.43 | |
United
| Professional | $669.96 | $813.45 | $1,790.55 |