| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $473.46 | $561.73 | $561.73 | |
Cigna
| Professional | $548.91 | $688.04 | $882.28 | |
United
| Professional | $523.14 | $692.19 | $1,334.61 |