| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $189.55 | $208.43 | $692.86 | |
Cigna
| Professional | $195.71 | $518.02 | $1,194.67 | |
United
| Professional | $716.90 | $1,011.20 | $1,660.19 |