| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $524.99 | $534.22 | $534.22 | |
Cigna
| Professional | $476.91 | $668.00 | $925.27 | |
United
| Professional | $515.41 | $667.02 | $1,210.70 |