| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $49.02 | $54.97 | $140.19 | |
Cigna
| Professional | $46.29 | $66.42 | $185.33 | |
United
| Professional | $121.09 | $196.48 | $310.24 |