| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,949.00 | $3,949.00 | $6,907.00 | |
Aetna
| Professional | $59.87 | $79.62 | $116.69 | |
Cigna
| Professional | $67.34 | $95.73 | $188.72 | |
United
| Professional | $97.52 | $142.29 | $311.52 |