| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $188.66 | $203.76 | $236.19 | |
Cigna
| Professional | $184.26 | $253.25 | $341.30 | |
United
| Professional | $222.01 | $287.31 | $519.16 |