| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $99.06 | $153.18 | $182.09 | |
Cigna
| Professional | $109.60 | $152.18 | $236.66 | |
United
| Professional | $154.49 | $209.56 | $394.77 |