| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $319.29 | $325.02 | $325.02 | |
Cigna
| Professional | $290.30 | $405.69 | $562.92 | |
United
| Professional | $271.52 | $398.85 | $734.12 |