| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $172.17 | $190.75 | $408.45 | |
Cigna
| Professional | $275.57 | $275.57 | $275.57 | |
United
| Professional | $435.94 | $564.89 | $1,473.49 |