| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $116.38 | $124.86 | $126.02 | |
Cigna
| Professional | $109.33 | $154.36 | $243.75 | |
United
| Professional | $111.15 | $151.66 | $303.79 |