| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,202.26 | $3,202.26 | $6,907.00 | |
Aetna
| Professional | $119.29 | $146.16 | $233.26 | |
Cigna
| Professional | $122.09 | $198.34 | $324.08 | |
United
| Professional | $184.59 | $251.69 | $463.23 |