| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $406.32 | $406.32 | $464.89 | |
Cigna
| Professional | $414.48 | $568.45 | $799.70 | |
United
| Professional | $452.90 | $570.80 | $1,031.19 |