| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $143.38 | $166.57 | $166.57 | |
Cigna
| Professional | $164.82 | $233.21 | $267.26 | |
United
| Professional | $164.40 | $230.97 | $409.48 |