| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $405.26 | $475.57 | $528.22 | |
Cigna
| Professional | $375.24 | $494.73 | $703.30 | |
United
| Professional | $423.65 | $565.05 | $1,352.98 |