| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $26.89 | $36.32 | $65.12 | |
Cigna
| Professional | $33.53 | $67.59 | $114.73 | |
United
| Professional | $58.90 | $74.88 | $103.73 |