| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $50.43 | $61.01 | $70.66 | |
Cigna
| Professional | $59.76 | $77.87 | $105.35 | |
United
| Professional | $69.61 | $90.82 | $156.51 |