| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $392.05 | $392.05 | $417.10 | |
Cigna
| Professional | $380.45 | $518.97 | $643.76 | |
United
| Professional | $359.75 | $465.99 | $957.82 |