| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $144.08 | $144.08 | $215.33 | |
Cigna
| Professional | $157.16 | $217.36 | $308.99 | |
United
| Professional | $201.23 | $260.06 | $690.66 |