| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $353.37 | $360.69 | $360.69 | |
Cigna
| Professional | $321.49 | $450.66 | $624.72 | |
United
| Professional | $301.87 | $415.07 | $816.19 |