| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $89.49 | $98.01 | $473.02 | |
Cigna
| Professional | $103.20 | $134.30 | $580.64 | |
United
| Professional | $431.03 | $563.71 | $1,104.34 |