| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $148.01 | $474.58 | $758.42 | |
Cigna
| Professional | $149.41 | $425.24 | $979.67 | |
United
| Professional | $526.51 | $830.02 | $1,362.72 |