| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $162.34 | $243.52 | $1,937.06 | |
Cigna
| Professional | $197.53 | $263.60 | $2,706.60 | |
United
| Professional | $1,986.92 | $2,307.90 | $5,090.68 |