| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $283.95 | $430.14 | $460.45 | |
Cigna
| Professional | $288.99 | $407.01 | $664.48 | |
United
| Professional | $399.83 | $478.74 | $941.38 |