| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $57.30 | $116.35 | $171.24 | |
Cigna
| Professional | $60.72 | $117.26 | $241.38 | |
United
| Professional | $120.38 | $177.20 | $354.40 |