| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $274.62 | $337.68 | $379.33 | |
Cigna
| Professional | $272.17 | $407.95 | $578.11 | |
United
| Professional | $326.66 | $422.74 | $863.08 |