| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $118.11 | $141.72 | $162.90 | |
Cigna
| Professional | $133.07 | $169.58 | $241.08 | |
United
| Professional | $137.68 | $194.85 | $439.01 |