| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $160.47 | $169.93 | $813.72 | |
Cigna
| Professional | $184.94 | $323.72 | $1,175.83 | |
United
| Professional | $737.41 | $1,026.86 | $1,678.96 |