| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $3,162.28 | $3,467.37 | |
Aetna
| Professional | $186.21 | $229.09 | $676.08 | |
Cigna
| Professional | $147.91 | $223.87 | $389.05 | |
United
| Professional | $181.97 | $295.12 | $707.95 |