| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $344.39 | $407.52 | $407.52 | |
Cigna
| Professional | $400.66 | $523.66 | $640.07 | |
United
| Professional | $379.76 | $484.62 | $952.93 |