| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $69.54 | $85.98 | $96.64 | |
Cigna
| Professional | $74.70 | $102.93 | $174.46 | |
United
| Professional | $84.03 | $103.58 | $227.20 |