| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.87 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $76.36 | $78.16 | $78.16 | |
Cigna
| Professional | $71.39 | $100.19 | $135.37 | |
United
| Professional | $77.80 | $101.45 | $177.15 |