| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $86.73 | $101.62 | $281.33 | |
Cigna
| Professional | $82.24 | $135.75 | $422.00 | |
United
| Professional | $95.60 | $237.61 | $431.17 |