| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $184.52 | $198.01 | $217.28 | |
Cigna
| Professional | $184.49 | $249.31 | $339.36 | |
United
| Professional | $207.74 | $303.11 | $472.98 |