| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $142.22 | $176.64 | $967.04 | |
Cigna
| Professional | $167.00 | $273.50 | $1,519.39 | |
United
| Professional | $997.47 | $1,316.57 | $2,271.09 |