| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $160.88 | $171.28 | $425.27 | |
Cigna
| Professional | $160.13 | $297.83 | $692.50 | |
United
| Professional | $327.98 | $626.70 | $862.17 |