| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $195.27 | $195.27 | $308.31 | |
Cigna
| Professional | $233.88 | $312.18 | $455.17 | |
United
| Professional | $263.98 | $358.62 | $788.96 |