| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $39.03 | $41.03 | $76.70 | |
Cigna
| Professional | $39.45 | $65.53 | $109.77 | |
United
| Professional | $61.83 | $79.20 | $154.52 |