| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $6,907.00 | $8,427.15 | |
Aetna
| Professional | $47.25 | $86.23 | $105.64 | |
Cigna
| Professional | $65.47 | $101.36 | $203.00 | |
United
| Professional | $97.49 | $156.27 | $277.48 |