| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $194.11 | $205.48 | $369.60 | |
Cigna
| Professional | $195.76 | $299.70 | $498.89 | |
United
| Professional | $291.16 | $373.63 | $734.68 |