| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $461.09 | $468.63 | $468.63 | |
Cigna
| Professional | $418.45 | $586.24 | $811.67 | |
United
| Professional | $458.96 | $579.95 | $1,062.35 |