| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $77.86 | $77.86 | $83.87 | |
Cigna
| Professional | $79.09 | $88.78 | $126.21 | |
United
| Professional | $76.13 | $106.03 | $227.68 |