| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $92.99 | $110.09 | $251.24 | |
Cigna
| Professional | $105.33 | $162.00 | $351.46 | |
United
| Professional | $186.30 | $326.08 | $477.31 |