| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $6,907.00 | $16,920.45 | |
Aetna
| Professional | $307.10 | $383.37 | $391.36 | |
Cigna
| Professional | $423.52 | $580.38 | $825.56 | |
United
| Professional | $373.22 | $466.52 | $748.93 |