| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $153.00 | $168.19 | $168.19 | |
Cigna
| Professional | $155.33 | $215.67 | $309.89 | |
United
| Professional | $158.47 | $205.10 | $407.81 |