| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $402.33 | $470.60 | $470.60 | |
Cigna
| Professional | $465.08 | $625.27 | $739.15 | |
United
| Professional | $454.59 | $607.15 | $1,135.73 |