| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $556.28 | $566.47 | $566.47 | |
Cigna
| Professional | $505.38 | $708.45 | $981.13 | |
United
| Professional | $556.02 | $700.61 | $1,284.08 |