| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $292.45 | $292.45 | $481.24 | |
Cigna
| Professional | $279.00 | $397.32 | $618.10 | |
United
| Professional | $373.64 | $500.87 | $1,193.81 |