| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $470.51 | $470.51 | $538.75 | |
Cigna
| Professional | $481.21 | $663.33 | $926.05 | |
United
| Professional | $460.22 | $595.57 | $1,190.99 |