| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,803.39 | $4,803.39 | $6,907.00 | |
Aetna
| Professional | $554.96 | $572.19 | $580.87 | |
Cigna
| Professional | $547.21 | $745.58 | $889.05 | |
United
| Professional | $507.29 | $678.22 | $1,333.62 |