| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $557.98 | $567.87 | $567.87 | |
Cigna
| Professional | $506.57 | $710.21 | $983.55 | |
United
| Professional | $545.32 | $705.71 | $1,287.24 |