| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $341.49 | $361.15 | $428.57 | |
Cigna
| Professional | $350.32 | $469.74 | $633.40 | |
United
| Professional | $419.51 | $546.11 | $971.50 |