| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $107.68 | $153.63 | $202.95 | |
Cigna
| Professional | $112.35 | $192.21 | $305.08 | |
United
| Professional | $180.28 | $233.30 | $449.71 |