| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $165.08 | $167.39 | $167.39 | |
Cigna
| Professional | $148.88 | $220.93 | $308.43 | |
United
| Professional | $173.32 | $214.92 | $397.65 |