| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $126.00 | $158.36 | $181.77 | |
Cigna
| Professional | $144.94 | $193.72 | $260.33 | |
United
| Professional | $173.01 | $224.09 | $404.73 |