| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $64.94 | $81.26 | $141.07 | |
Cigna
| Professional | $66.01 | $119.65 | $216.85 | |
United
| Professional | $118.40 | $157.01 | $320.12 |