| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $146.93 | $283.33 | $3,123.59 | |
Cigna
| Professional | $196.22 | $321.74 | $4,658.89 | |
United
| Professional | $3,330.98 | $4,335.71 | $7,584.11 |