| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $36.47 | $40.81 | $187.51 | |
Cigna
| Professional | $39.24 | $51.94 | $230.09 | |
United
| Professional | $159.63 | $219.41 | $369.69 |