| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $379.53 | $379.53 | $433.95 | |
Cigna
| Professional | $388.30 | $521.84 | $746.99 | |
United
| Professional | $415.79 | $488.36 | $960.29 |