| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $368.45 | $368.45 | $533.46 | |
Cigna
| Professional | $336.47 | $458.87 | $652.30 | |
United
| Professional | $408.21 | $525.54 | $1,187.23 |