| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $149.96 | $149.96 | $171.12 | |
Cigna
| Professional | $201.71 | $294.86 | $419.16 | |
United
| Professional | $146.66 | $281.33 | $445.35 |