| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $146.37 | $174.72 | $355.58 | |
Cigna
| Professional | $161.80 | $239.97 | $520.72 | |
United
| Professional | $307.07 | $453.98 | $786.74 |