| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $245.29 | $285.57 | $576.13 | |
Cigna
| Professional | $250.83 | $454.45 | $881.30 | |
United
| Professional | $441.64 | $796.32 | $1,194.08 |