| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $132.62 | $146.78 | $146.78 | |
Cigna
| Professional | $107.07 | $160.80 | $182.59 | |
United
| Professional | $125.83 | $181.48 | $284.94 |