| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $126.78 | $158.86 | $208.56 | |
Cigna
| Professional | $122.10 | $201.96 | $320.61 | |
United
| Professional | $204.62 | $263.23 | $478.91 |