| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $185.97 | $185.97 | $191.54 | |
Cigna
| Professional | $177.64 | $248.30 | $342.66 | |
United
| Professional | $191.57 | $250.87 | $438.59 |