| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $492.49 | $508.54 | $508.54 | |
Cigna
| Professional | $486.30 | $623.00 | $846.91 | |
United
| Professional | $486.45 | $661.39 | $1,107.56 |