| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $153.19 | $172.75 | $236.15 | |
Cigna
| Professional | $163.88 | $237.49 | $338.64 | |
United
| Professional | $189.97 | $255.07 | $504.65 |