| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $237.82 | $237.82 | $271.47 | |
Cigna
| Professional | $242.31 | $330.93 | $468.08 | |
United
| Professional | $262.80 | $327.39 | $605.99 |