| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $652.45 | $652.45 | $697.52 | |
Cigna
| Professional | $648.23 | $902.76 | $1,077.21 | |
United
| Professional | $586.50 | $827.27 | $1,626.71 |