| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $121.85 | $137.69 | $287.14 | |
Cigna
| Professional | $98.92 | $162.71 | $308.24 | |
United
| Professional | $165.85 | $227.18 | $629.72 |