| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $221.75 | $221.75 | $334.49 | |
Cigna
| Professional | $202.94 | $288.91 | $419.71 | |
United
| Professional | $267.79 | $363.19 | $854.68 |