| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,005.53 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $85.48 | $219.68 | $577.36 | |
Cigna
| Professional | $102.70 | $209.18 | $690.44 | |
United
| Professional | $213.98 | $502.40 | $849.99 |