| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $115.81 | $147.52 | $221.67 | |
Cigna
| Professional | $117.70 | $190.52 | $330.23 | |
United
| Professional | $164.48 | $227.73 | $477.44 |