| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $150.85 | $211.54 | $233.61 | |
Cigna
| Professional | $161.44 | $231.67 | $347.35 | |
United
| Professional | $223.30 | $291.38 | $509.67 |