| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $118.19 | $149.34 | $271.45 | |
Cigna
| Professional | $111.28 | $203.18 | $410.48 | |
United
| Professional | $194.47 | $253.04 | $585.99 |