| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $66.37 | $66.37 | $76.16 | |
Cigna
| Professional | $68.01 | $91.98 | $130.62 | |
United
| Professional | $73.97 | $92.87 | $169.06 |