| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,253.21 | $2,253.21 | $6,907.00 | |
Aetna
| Professional | $110.58 | $166.82 | $178.90 | |
Cigna
| Professional | $122.04 | $177.64 | $265.97 | |
United
| Professional | $166.02 | $232.97 | $386.83 |