| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $111.30 | $111.30 | $128.46 | |
Cigna
| Professional | $113.71 | $158.97 | $219.06 | |
United
| Professional | $123.37 | $159.65 | $286.62 |