| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $419.16 | $486.73 | $486.73 | |
Cigna
| Professional | $482.48 | $657.22 | $769.55 | |
United
| Professional | $434.30 | $588.64 | $1,201.31 |