| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $395.52 | $404.25 | $404.25 | |
Cigna
| Professional | $365.70 | $503.15 | $700.16 | |
United
| Professional | $388.48 | $459.05 | $902.66 |