| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $118.15 | $124.84 | $151.83 | |
Cigna
| Professional | $108.30 | $157.25 | $216.05 | |
United
| Professional | $115.26 | $156.15 | $328.00 |