| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,542.50 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $28.17 | $72.39 | $101.93 | |
Cigna
| Professional | $31.88 | $60.03 | $186.32 | |
United
| Professional | $85.75 | $115.58 | $225.99 |