| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $395.36 | $447.62 | $477.89 | |
Cigna
| Professional | $429.43 | $518.79 | $660.24 | |
United
| Professional | $424.07 | $615.88 | $1,079.14 |