| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $440.63 | $444.88 | $444.88 | |
Cigna
| Professional | $436.06 | $546.15 | $740.89 | |
United
| Professional | $425.45 | $519.27 | $968.68 |