| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $91.18 | $96.51 | $159.40 | |
Cigna
| Professional | $105.87 | $150.50 | $243.49 | |
United
| Professional | $130.86 | $189.88 | $417.74 |