| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $647.79 | $647.79 | $692.58 | |
Cigna
| Professional | $649.01 | $892.30 | $1,105.25 | |
United
| Professional | $643.32 | $832.54 | $1,615.59 |