| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $52.84 | $56.44 | $87.48 | |
Cigna
| Professional | $53.55 | $88.86 | $126.41 | |
United
| Professional | $80.37 | $106.59 | $182.99 |