| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $175.83 | $182.61 | $2,023.23 | |
Cigna
| Professional | $219.98 | $370.58 | $2,923.56 | |
United
| Professional | $1,837.25 | $2,189.19 | $4,303.18 |