| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $4,803.39 | $6,907.00 | |
Aetna
| Professional | $204.32 | $221.45 | $339.60 | |
Cigna
| Professional | $168.76 | $265.52 | $468.94 | |
United
| Professional | $275.85 | $321.18 | $746.52 |