| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $287.83 | $287.83 | $299.58 | |
Cigna
| Professional | $220.91 | $439.53 | $597.23 | |
United
| Professional | $311.38 | $531.60 | $880.69 |