| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $68.06 | $68.61 | $68.61 | |
Cigna
| Professional | $63.30 | $82.94 | $118.84 | |
United
| Professional | $67.69 | $99.07 | $218.49 |