| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $4,803.39 | $6,907.00 | |
Aetna
| Professional | $256.41 | $264.95 | $267.97 | |
Cigna
| Professional | $232.26 | $356.01 | $870.08 | |
United
| Professional | $263.06 | $598.96 | $1,902.87 |