| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $184.48 | $184.48 | $201.33 | |
Cigna
| Professional | $164.82 | $215.50 | $265.19 | |
United
| Professional | $171.09 | $207.56 | $435.44 |