| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $614.33 | $723.91 | $723.91 | |
Cigna
| Professional | $607.97 | $853.18 | $1,205.59 | |
United
| Professional | $619.67 | $864.45 | $1,512.67 |