| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $172.57 | $213.25 | $528.63 | |
Cigna
| Professional | $202.23 | $331.33 | $812.63 | |
United
| Professional | $515.16 | $706.19 | $1,172.93 |