| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,025.60 | $6,025.60 | $7,244.36 | |
Aetna
| Professional | $165.96 | $204.17 | $416.87 | |
Cigna
| Professional | $165.96 | $213.80 | $263.03 | |
United
| Professional | $169.82 | $208.93 | $398.11 |