| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $308.31 | $308.31 | $488.99 | |
Cigna
| Professional | $293.45 | $426.49 | $638.71 | |
United
| Professional | $380.96 | $513.45 | $1,216.78 |