| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $50.82 | $53.11 | $165.27 | |
Cigna
| Professional | $52.01 | $95.20 | $219.70 | |
United
| Professional | $130.41 | $163.97 | $322.42 |