| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $516.29 | $516.29 | $550.69 | |
Cigna
| Professional | $516.96 | $665.29 | $847.77 | |
United
| Professional | $466.62 | $627.17 | $1,253.05 |