| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $329.00 | $329.00 | $344.61 | |
Cigna
| Professional | $286.50 | $396.31 | $540.23 | |
United
| Professional | $274.26 | $388.45 | $779.64 |