| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $229.26 | $229.26 | $251.35 | |
Cigna
| Professional | $170.58 | $266.42 | $299.55 | |
United
| Professional | $211.88 | $249.78 | $542.86 |