| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $166.23 | $180.85 | $194.75 | |
Cigna
| Professional | $158.15 | $221.33 | $299.32 | |
United
| Professional | $181.30 | $234.62 | $425.72 |