| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $195.51 | $196.77 | $196.77 | |
Cigna
| Professional | $175.03 | $296.63 | $362.55 | |
United
| Professional | $206.11 | $290.73 | $469.28 |