| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $86.37 | $105.86 | $180.89 | |
Cigna
| Professional | $87.98 | $133.72 | $207.60 | |
United
| Professional | $137.76 | $170.09 | $340.19 |