| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $308.42 | $308.42 | $341.13 | |
Cigna
| Professional | $309.14 | $422.13 | $506.43 | |
United
| Professional | $311.69 | $388.06 | $763.06 |