| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $97.37 | $109.91 | $322.32 | |
Cigna
| Professional | $96.45 | $126.14 | $377.10 | |
United
| Professional | $282.57 | $332.56 | $735.87 |