| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $79.48 | $132.58 | $161.28 | |
Cigna
| Professional | $94.09 | $137.19 | $228.68 | |
United
| Professional | $130.68 | $205.20 | $298.93 |