| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $186.21 | $213.80 | $478.63 | |
Cigna
| Professional | $165.96 | $281.84 | $354.81 | |
United
| Professional | $173.78 | $275.42 | $389.05 |