| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $160.05 | $163.41 | $163.41 | |
Cigna
| Professional | $125.42 | $249.55 | $360.74 | |
United
| Professional | $176.69 | $337.18 | $499.73 |