| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,031.80 | $1,031.80 | $6,907.00 | |
Aetna
| Professional | $59.15 | $118.84 | $174.02 | |
Cigna
| Professional | $69.45 | $135.83 | $174.02 | |
United
| Professional | $111.73 | $147.77 | $222.71 |