| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $172.09 | $194.25 | $232.68 | |
Cigna
| Professional | $190.12 | $260.22 | $324.95 | |
United
| Professional | $225.08 | $273.83 | $533.96 |