| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,816.00 | $5,816.00 | $6,907.00 | |
Aetna
| Professional | $167.43 | $187.27 | $473.18 | |
Cigna
| Professional | $202.36 | $347.96 | $687.44 | |
United
| Professional | $442.21 | $597.94 | $1,123.05 |