| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $193.78 | $224.96 | $224.96 | |
Cigna
| Professional | $223.61 | $300.64 | $361.19 | |
United
| Professional | $223.11 | $283.44 | $555.72 |