| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $138.09 | $142.80 | $520.16 | |
Cigna
| Professional | $176.81 | $289.27 | $884.30 | |
United
| Professional | $574.30 | $719.61 | $1,415.01 |