| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $153.30 | $201.86 | $224.89 | |
Cigna
| Professional | $152.97 | $236.18 | $331.46 | |
United
| Professional | $191.88 | $248.70 | $496.88 |