| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $447.53 | $447.53 | $477.72 | |
Cigna
| Professional | $450.56 | $568.90 | $734.86 | |
United
| Professional | $405.01 | $556.89 | $1,095.04 |