| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $132.75 | $202.84 | $224.96 | |
Cigna
| Professional | $122.27 | $210.56 | $337.06 | |
United
| Professional | $181.69 | $266.83 | $491.24 |