| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $146.16 | $180.67 | $213.50 | |
Cigna
| Professional | $157.66 | $217.63 | $309.37 | |
United
| Professional | $175.32 | $231.73 | $559.41 |