| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $262.70 | $267.55 | $267.55 | |
Cigna
| Professional | $237.66 | $334.89 | $463.39 | |
United
| Professional | $258.30 | $334.27 | $607.63 |