| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $113.68 | $117.72 | $117.72 | |
Cigna
| Professional | $103.88 | $148.46 | $203.89 | |
United
| Professional | $114.51 | $147.63 | $265.38 |