| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $193.24 | $231.65 | $288.52 | |
Cigna
| Professional | $206.86 | $345.90 | $543.30 | |
United
| Professional | $280.33 | $357.83 | $673.43 |