| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $159.60 | $201.73 | $269.87 | |
Cigna
| Professional | $156.05 | $242.48 | $402.03 | |
United
| Professional | $218.15 | $329.66 | $599.91 |