| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $71.36 | $75.69 | $172.66 | |
Cigna
| Professional | $73.03 | $127.61 | $194.57 | |
United
| Professional | $130.16 | $171.23 | $321.05 |