| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $129.82 | $158.72 | $271.77 | |
Cigna
| Professional | $146.13 | $235.23 | $417.78 | |
United
| Professional | $215.49 | $312.47 | $629.52 |