| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $86.87 | $161.46 | $172.30 | |
Cigna
| Professional | $99.00 | $160.74 | $279.54 | |
United
| Professional | $142.50 | $184.42 | $360.64 |