| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $622.14 | $652.03 | $697.41 | |
Cigna
| Professional | $653.15 | $903.34 | $1,104.44 | |
United
| Professional | $602.47 | $834.54 | $1,628.93 |