| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $289.52 | $335.59 | $349.82 | |
Cigna
| Professional | $282.45 | $393.97 | $494.99 | |
United
| Professional | $286.27 | $387.23 | $788.52 |