| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $113.92 | $176.98 | $699.12 | |
Cigna
| Professional | $138.66 | $191.02 | $1,004.47 | |
United
| Professional | $686.69 | $858.72 | $1,759.37 |