| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $766.72 | $910.75 | $910.75 | |
Cigna
| Professional | $759.04 | $1,055.79 | $1,516.75 | |
United
| Professional | $760.63 | $949.28 | $1,866.63 |