| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $130.41 | $156.44 | $369.46 | |
Cigna
| Professional | $120.30 | $344.91 | $458.51 | |
United
| Professional | $245.71 | $368.08 | $811.03 |