| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $125.41 | $162.49 | $201.06 | |
Cigna
| Professional | $136.90 | $206.32 | $296.89 | |
United
| Professional | $193.00 | $238.26 | $439.76 |