| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,709.64 | $8,709.64 | $15,488.17 | |
Aetna
| Professional | $158.49 | $436.52 | $891.25 | |
Cigna
| Professional | $144.54 | $316.23 | $870.96 | |
United
| Professional | $181.97 | $436.52 | $1,258.93 |