| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $293.75 | $334.97 | $516.85 | |
Cigna
| Professional | $316.11 | $484.87 | $663.21 | |
United
| Professional | $419.34 | $551.19 | $767.23 |