| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $274.95 | $536.26 | $689.31 | |
Cigna
| Professional | $309.05 | $536.98 | $846.67 | |
United
| Professional | $474.38 | $662.03 | $1,425.05 |