| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $309.99 | $412.28 | $490.66 | |
Cigna
| Professional | $289.25 | $467.92 | $620.05 | |
United
| Professional | $389.80 | $521.32 | $1,245.10 |