| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $44.00 | $91.54 | $142.66 | |
Cigna
| Professional | $47.50 | $108.28 | $233.94 | |
United
| Professional | $113.48 | $158.76 | $294.64 |