| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $448.24 | $448.24 | $514.13 | |
Cigna
| Professional | $458.25 | $633.50 | $882.22 | |
United
| Professional | $491.56 | $606.75 | $1,139.35 |