| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $312.27 | $312.27 | $357.01 | |
Cigna
| Professional | $320.41 | $428.30 | $614.61 | |
United
| Professional | $308.48 | $399.21 | $789.67 |