| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $537.26 | $537.26 | $573.02 | |
Cigna
| Professional | $537.69 | $724.24 | $882.20 | |
United
| Professional | $505.36 | $675.88 | $1,329.03 |