| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $63.30 | $69.06 | $238.08 | |
Cigna
| Professional | $92.91 | $151.55 | $411.98 | |
United
| Professional | $272.57 | $353.67 | $796.68 |