| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $408.36 | $417.16 | $417.16 | |
Cigna
| Professional | $377.18 | $505.27 | $722.52 | |
United
| Professional | $393.42 | $464.27 | $931.95 |