| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $146.44 | $187.49 | $327.12 | |
Cigna
| Professional | $130.87 | $249.26 | $473.08 | |
United
| Professional | $237.99 | $307.99 | $663.20 |