| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $63.04 | $76.67 | $91.14 | |
Cigna
| Professional | $64.81 | $90.49 | $131.69 | |
United
| Professional | $84.45 | $108.95 | $192.27 |