| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $348.21 | $367.52 | $436.24 | |
Cigna
| Professional | $370.99 | $479.74 | $644.80 | |
United
| Professional | $431.23 | $578.24 | $987.56 |