| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $232.31 | $232.31 | $246.99 | |
Cigna
| Professional | $231.59 | $318.76 | $381.46 | |
United
| Professional | $251.46 | $306.93 | $572.52 |