| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $97.57 | $101.93 | $128.60 | |
Cigna
| Professional | $99.06 | $134.08 | $185.82 | |
United
| Professional | $123.27 | $158.69 | $280.67 |