| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $75.83 | $142.00 | $157.66 | |
Cigna
| Professional | $80.97 | $135.38 | $222.02 | |
United
| Professional | $138.08 | $187.28 | $315.52 |