| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $147.18 | $277.97 | $372.60 | |
Cigna
| Professional | $158.03 | $301.24 | $581.19 | |
United
| Professional | $295.87 | $427.94 | $799.92 |