| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $763.89 | $763.89 | $771.14 | |
Cigna
| Professional | $789.28 | $1,074.66 | $1,407.51 | |
United
| Professional | $809.30 | $1,012.15 | $1,842.64 |