| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $75.81 | $75.81 | $77.51 | |
Cigna
| Professional | $69.66 | $112.83 | $139.69 | |
United
| Professional | $78.59 | $112.94 | $178.94 |