| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $161.55 | $165.38 | $169.69 | |
Cigna
| Professional | $168.61 | $211.83 | $338.18 | |
United
| Professional | $157.38 | $207.89 | $425.55 |