| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,165.95 | $6,165.95 | $6,165.95 | |
Aetna
| Professional | $354.81 | $457.09 | $1,348.96 | |
Cigna
| Professional | $371.54 | $457.09 | $891.25 | |
United
| Professional | $407.38 | $512.86 | $1,479.11 |