| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $134.69 | $142.06 | $196.04 | |
Cigna
| Professional | $127.09 | $184.15 | $260.20 | |
United
| Professional | $140.26 | $181.51 | $402.64 |