| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $123.79 | $143.47 | $247.01 | |
Cigna
| Professional | $129.82 | $198.17 | $424.24 | |
United
| Professional | $125.69 | $282.55 | $813.90 |