| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $123.33 | $153.37 | $212.09 | |
Cigna
| Professional | $125.47 | $200.92 | $326.02 | |
United
| Professional | $203.35 | $235.11 | $475.04 |