| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $102.03 | $121.36 | $292.52 | |
Cigna
| Professional | $107.77 | $197.72 | $461.64 | |
United
| Professional | $262.01 | $430.65 | $626.55 |