| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $591.83 | $636.01 | $755.16 | |
Cigna
| Professional | $630.13 | $875.82 | $1,257.61 | |
United
| Professional | $627.76 | $812.39 | $1,546.11 |