| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $381.04 | $381.04 | $437.74 | |
Cigna
| Professional | $406.94 | $406.94 | $406.94 | |
United
| Professional | $381.10 | $481.55 | $867.71 |