| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $502.46 | $600.91 | $600.91 | |
Cigna
| Professional | $499.30 | $690.77 | $1,000.77 | |
United
| Professional | $485.00 | $558.66 | $1,223.24 |