| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $195.06 | $648.41 | $648.41 | |
Cigna
| Professional | $167.60 | $167.60 | $167.60 | |
United
| Professional | $648.50 | $873.68 | $1,501.79 |