| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $316.24 | $370.76 | $370.76 | |
Cigna
| Professional | $367.25 | $472.77 | $582.34 | |
United
| Professional | $355.07 | $451.79 | $888.39 |