| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $203.15 | $286.91 | $297.72 | |
Cigna
| Professional | $208.93 | $295.61 | $420.23 | |
United
| Professional | $259.95 | $308.64 | $491.79 |